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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATIO~~~~f J-5-~2 tr <br /> <br />BUILDING DEPART~ENT 5335 Sth STREET ZEPHYRHILLS, FL 33540 <br />Phone:S13-7S0-0020 Fax:S13-7S0-0021 <br />DATE RECEIVED 2 - /f - O.;t. <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME~ ; Iderbrand 7 Dono...ld <Y- JCl<:k'"e_ <br />JOB SITE ADDRESS .3 7 I ~ g ~ u..llen s Tr a...- I <br /> <br />PASCO PERMIT SERVICE <br />PHONE CONTACT R1~-7e8-5314 <br /> <br />SUBDIVISION S i I Ve.f Oaks <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # 03- ~~ - ~ 1- tJ I <A D - {)(Y)OO - 0170 <br />WORK PROPSED: 0 NEW CONSTRUCTION ~ ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK L~~r-~en RoovY\ on PXl"Stlng sloJJ <br />BUILDING SIZE I D X ;<~ SQUARE FOOTAGE ~ 30 HEIGHT <br /> <br />~ '--to II <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 />$ 3~O(). go <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <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 <br /> <br />~ OTHER cJ-i t{ l4-<.-i n t.{ "'^-' <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDER COMPANy~hr's A \u..If\.\..~Y\\'('w....- ~ H-tR.r.dI.A..tl..r-e... <br />10 JAIl~-I1 J ".,. n A-- ^ . . STATE CERT OR REGIST # <br />SIGNATURE ~( IVLA.Jfl)'-"OJ~ CITY PROCESSING ~I '3 <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 />