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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRRILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />6 ",";2 /- tJ 0 <br /> <br />-- <br /> <br />-- <br /> <br />OWNER'S NAME -.:D a..V; d-.H- 0 II Y <br />JOB ADDRESS 5438 III 1-1-\ ~T: <br />LEGAL DESCRIPTION: LOT(S) ~?.~~I <br /> <br />PHONE <br /> <br />PASCO PERMIT SERVICE <br />813-788-5314 <br /> <br />) <br /> <br />Z e.phyr bills, PI. .33540 <br />BLOCK 1'17 SUBDIVISION <br /> <br />PARCEL 10 # 1/-,2&'-dl-/JOIO- /l/700-t)~/O <br />WORK PROPSED: []NEW CONSTRUCTION ~ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTIeF.) <br /> <br />[]ALTERATION <br /> <br />[] REPAIR <br /> <br />[] INSTALL <br /> <br />[] SIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />[] MOVE <br /> <br />[] DEMOLISH <br /> <br />[]MULTI-FAMILY <br /> <br />[]# OF UNITS <br /> <br />[] MOBILE HOME <br /> <br />BUILDING SIZE <br /> <br />D <br />DOlA.bJ ~ <br />.;? L/ )( ,;l L/ <br /> <br />[] INDUSTRIAL [] SWIMMING POOL [] OTHER V 0 <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL ~w';U;,7!!f7 <br /> <br />C o...r pDrT (L <br /> <br />/0/ <br /> <br />DESCRIPTION OF WORK <br /> <br />SQUARE FOOTAGE <br /> <br />57& <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~BUILDING <br /> <br />$ <br /> <br />~P?tJO. 00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[] ELECTRICAL <br />[] PLUMBING <br />[] MECHANICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />~OTHER Al Uflk.1 YI t.( ""'- <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br /> <br />BUILDER COMPANYB.a.dy M.Dn.b~rr"'~5 Con sT. <br />~-tUi>t.Q STATE CERT OR REGIST # :Be 7 '1<1'1 <br />SIGNATUR . ~ CITY PROCESSING # ::f(3 rfl;L f) I<- <br /> <br />** ********************************************~*********** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***********.******************************************************* <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />