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<br />i" " " -tI:) <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION~~~ : 1-{ '-1- 0;;" ~' <br /> <br />BUI:LDUIQ DBPARTI4BHT 5335 Bt:h STRBBT ZBPRYRB:ILLS, I'L- 33540 <br />PhoneIB13-7BO-0020 l'axIB13-7BO-0021 <br />DATB RBCB:IVBD ;J-- 7 - () ~ <br />PLANS RBV:IBW I'EB <br /> <br />OWNER'S NAME <br /> <br /> <br />PHONE <br /> <br />CONTACT PASCO PERMIT SERVICE <br />813..788-5314 <br />7<gg-53/tj <br />(!ou,t- 3'lf<d-re <br /> <br />JOB SITE ADDRE <br /> <br />LEGAL DBSCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVH!ION <br /> <br />P~CEL ID # /5- ~(p- ~ / - 0.;1. 00- 00000'- O~I D <br />WORK PROPSED: DNEW CONSTRUCTION )?J ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />DSIGN <br />PROPOSED USE:P(SGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI - FAMILY <br />D INDUSTRIAL <br /> <br />0# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ~ Sc.r-ee.n RooV'l'ls <br />1 <br />Qy..f;2. I &)<./0/. t.fX/;;;" <br />BUILDING SIZB <br /> <br />I Pa-+t'O CDller <br />a / & 1ft -k-;-d <br /> <br />HEIGHT 5~e. p{tt.u. S <br /> <br />SQUARE FOOTAGE <br /> <br />RESIDENTIAL: <br />COMMBRCIAL: <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 />PBRMITS REQUESTED <br /> <br />jl BUILDING <br />D ELECTRICAL <br /> <br />$ d300. aJ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SBRVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />D PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLA'I'ION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPBCIALTY <br /> <br />o OTHBR <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAMB <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELBVATIONS <br /> <br />IS PROJBCT IN FLOOD ZONE AREAD YES. 0 NO <br /> <br /> <br />SIGNATURE. <br /> <br />J/)~ruc~-itl k~v <br /> <br />ao~ <br />STATE CBRT OR REGIST # <br />CITY PROCESSING # <br /> <br />BU:ILDBR <br /> <br />COMPANY <br /> <br />\ <br />~**************************************************'************** <br /> <br />BLBCTRI:C:IAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST #. <br />CITY PROCESSING # <br /> <br />SIGNl\.TURE <br /> <br />****************************************************************** <br /> <br />MBCHANlCAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATB CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />