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<br />sl;\ /01 j <br />~ lle(l <br /> <br />APPLICATION FOR PERMIT <br />CITY or ZEPHYRHILLS <br />BUIWING DEPARTMENT <br /> <br />DATE RECBIVED S'~-V I <br />PLANS uv:rBW I'Elll - <br /> <br />OWNER'S NAME 11 E!? T / E <br />JOB ADDRESS ....~dO 7 10 'It.. <br /> <br />13!teD <br /> <br />$* ,. ? erI11rJ'J//15 <br />BLOCK <br /> <br />PHONE <br /> <br />PASCO PERMIT SERVICE <br />813-788-5314 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # .J../-,;l,!.t: - ~/- 0010 - 19 if OfJ - 0010 <br />WORK PROPSED: [JNEW CONSTRUCTION ~DITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />OSIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />BUILDING SIZE <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />WORK I ~ LA-,55 RrvL. (Parha.llr ~)(ISffl'j <br />II X d. 3 I SQUARE FOOTAGE ;< 5,3 <br /> <br />SCreei1. roon"\.- ) <br />~ <br /> <br />DESCRIPTION OF <br /> <br />HEIGHT <br /> <br />Sl"'C fJfcu. s <br />, <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />.ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />u;( BUILDING <br />lit ELECTRICAL <br />[J PLUMBING <br />[J MECHANICAL <br /> <br />$ <br /> <br />tf~6D. {)O <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />~HER ItLUI11I!JVI1{ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES <br /> <br />[J NO <br /> <br />!!!i!i!!i!!j;!'Fmi!!i!;!!;:!;!'!!'iii~imlil'!!I!!'iiim'!'1m!=!mmmmiil'i!Wi,gpmgm ~ -- - ~ - ~--- --- .-- ~ -- - -- -. - . '!lmii!'lii'iiW!I'i=ii;'iiiimim:imim'mg:mi!:igjliim!!!!m!'ii!E,!iimm'!!imll <br />j::::::::"il:bl:',*::!::'i:.:!.:!.:Il",,:.,!!.:.,,'::;::.!:i:::.,;:;"""":::::';"::!:!':""""'I !:o::::::1::...,::I::1:,::::::,:::::",I",:::::::::::,:",,,::::'::,::,:::::;:,=,,,,;o:i::::,,;:::o:-., <br />mmH~:~m:::~::=;:,maHmfmm:~:m:~=~i~a:~~m:~mm!Hh~~;:gahm;~~im;m:~h:Um, :m:mmm::m::::w:m::::m::m;:~::mmm:::;:::;:~m::~mm:mmm:~:m:;:=m~:~ <br /> <br /> <br />COMPANY III-I<- ALUMIlJum <br />~ f) STATE CERT OR REGIST # <br />CITY PROCESSING # ~/1 <br /> <br />********************************************~~*~~**!lJ~********* <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br /> <br />J:LBC'.rlUCIAN <br />SIGNATURE ~~ r ~- <br /> <br />COMPANY FE-~ ~ul'UC <br />STATE CERT OR REGIST # E(<..oCG 416-(0 <br />CITY PROCESSING # 1CXc:. \ <br />O~ <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***********~****************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHl!:R <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />