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<br />APPLICATION I'OR PEmaT <br />CITY 01' ZBPHYRHILLS <br />BUILDING DBPAR!l'IO:NT <br /> <br />DAD RBCB:IVBD <br />PLANS RBVID I'BJJ: <br /> <br />OWNER'S NAME---.Pbn~pt='t- <br />JOB ADDRESS 37' 2 7 Fox. R U-V1 P I aLe... ) <br /> <br />PHONE <br /> <br />PASCO PERMIT SERVICE <br />813-788-5314 <br /> <br />BLOCK <br /> <br />Zephyr-hi Il~ I fl. <br />SUBDIVISION Si \vel"'" Oo..ks <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # 03-~-,;l,I-OI~O-ODOOO-05{)O <br />WORK PROPSED: [JNEW CONSTRUCTION ~DITION <br /> <br />IOBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />[JALTERATION <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />PROPOSED <br /> <br />[J SIGN <br /> <br />USE: I}(sGL FAMILY <br />[J COMMERCIAL <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />DWELLING <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK &re€..ll\.... 'R~Or'V\ CLV\.d Cone I"'e..te ~ \a..b <br />BUILDING SIZE --12.. x... Z ~ SQUARE FOOTAGE 33l.o <br /> <br />HEIGHT ~~ plttk..c; <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />i1 BUILDING <br />o ELECTRICAL <br />[J PLUMBING <br />[J MECHANICAL <br /> <br />$ ~9bO, 00 <br /> <br />VALUATIon OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R!E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <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 ~ OTHER O//(fUI JU{~~ <br />IS PROJECT IN FLOOD ZONE AREA[J YES 0 NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />Immmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmr - - - - - - - mmmmmmmmmmmmmmmmmmmmmmmmlmmmmmmmm~mm <br /> <br />SIGNATURE <br /> <br />~ COMPANyBahr'~ &1_l,,"-......l+<\f'd>Wr~,L.c' <br />STATE CERT OR REGIST # <br />CITY PROCESSING # l~ <br /> <br />..... ............................................................ <br /> <br />BUILDER <br /> <br />BLBCftICIAR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUHBBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***********~****************************************************** <br /> <br />HBCIlANICAL <br /> <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*******************k********************************************* <br /> <br />OTlDllR COMPANY <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br /> <br />************************ '************************************** <br />