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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMBNT 5335 8th STREET ZEPHYRHILLS, PL 33540 <br />Phone:813-780-0020 Pax:813-780-0021 /.1-/Yl d <br />DATE RECEIVED C ~ <br />PLANS REVIEW PBB . <br /> <br />OWNER'S NAME ~~tt.l-S R.e..~ ~~'3\:'OY'J <br />JOB SITE ADDRESS .3?? ~ r /1-1. i..ss~ .Dtc.~ <br /> <br />PHONE CONTACT 'I j do -3 S'l:fS- <br />33~4/ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />t!J/7A <br /> <br />Do B ("') <br /> <br />BLOCK ()/ ~ Ilo SUBDIVISION <br />(XJ130 <br />PARCEL ID # /$ -hlh - al- 0/7/1- -Olfoot:/- ~OBTAIN FROM <br /> <br />WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION ~RATION <br /> <br />PROPERTY TAX NOTICE) <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br />PROPOSED USE:~FAMILY DWELLING <br /> <br />Dt;10VE <br /> <br />o DEMOLISH <br /> <br />DMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />Po \r'L~ . <br /> <br />C, lo s ~ <br /> <br />s <:'~~e. ~ <br />SQUARE FOOTAGE I 35 <br /> <br />l\AJ <br /> <br />BUILDING SIZE <br /> <br />Q'x . <br />-1_15' <br /> <br />HEIGHT <br /> <br />~EE PiAU <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 />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />Pasco Permt f Servlc;; <br />"7 8'~ - 5 ~L~."-,,). . <br /> <br />M.'./~ <br />/..//~// ..." <br />/ <br /> <br />.R.E. . . <br />.. ./ <br /> <br />o <br /> <br /> <br /> <br />PERMITS REQUESTED <br /> <br />~ILDING <br />~LECTRICAL <br /> <br />$ <br /> <br />'51'-13. {)O <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />DGAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA 0 YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />~ COMPANY .J)V\Uf"~\ At-v",,- t""v~ <br />, STATE CERT OR REGIST #~ <br />V~/'.k'/ ~ CITY PROCESSING # -:1.9. ~~ <br />' f 0( <br />******************************************************** * <br /> <br />COMPANY qqtf ~ RJ'1t"v ~/s[;;f-; <br /> <br />_ STATE CERT OR REGIST # <br />CITY PROCESSING # ,11'~ ~ <br /> <br />* * * * * * * * ** * * * * * * * * * * * ** * * * * ****:~',j,* * ** * * * * * 6 * <br /> <br /> <br />BUILDER <br /> <br />BLECTIUCIAN <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST #. <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />KBCHANICAL <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 />