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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEll <br /> <br />2'- 1::2-0 :<. <br /> <br />OWNER'S NAME c"o..f'\a.... H~e. <br />JOB ADDRESS 7~o'i Ashla.nd Dr. <br /> <br />PHONE <br /> <br />PASCO PERMIT SE8VICE <br />813-788-5314 <br /> <br />SUBDIVI SION Ai pha.. V i Lltt~ e.. <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # .~;-- ~5- .;11- OO!JO-OOOCO-03G,O <br /> <br />DSIGN <br /> <br />pi ADDI'l'ION <br />o MOVE <br /> <br />o Al.TERATI ON <br /> <br />o REPAIR <br /> <br />o INSTAl.l. <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: D<sGL FAMIIJY DWELI,ING <br />o COMMERCIAl. <br /> <br />OMUIll'I-FAMHY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />t0r feeV'... KooYY1 eu.-~ CDncre.t~ ~Aa.h <br />/44 <br /> <br />DESCRIPTION OF WORK <br /> <br />I;). )( I~ <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />..4-e-<- j(? I ~ <br />, <br /> <br />RES I DEN'l'IAl.: <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 E'OR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />lii BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />lq~g.f)t) <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <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 />'l'YPE OF CONSTRuc'rrON: 0 BLOCK <br /> <br />o FRAME <br /> <br />(l( OTHER o../u tM.l"n (,( """'-" <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o STEEL <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />o NO <br /> <br /> <br />COMPANY 6tA-V\ st~t~ AhLV\'\tl'll'\.l'V\....-' <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ELECTRJ:CIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <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 />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER COMPANY <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br /> <br />************************** k************************************* <br />