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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhillsr FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECE IVED 1./3 ~ .3 <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME Art~tA.r '<t <br />JOB ADDRESS 35 ;LD <br /> <br />F toreCl\CL K.. i He..... <br />Per i dot Ln- <br /> <br />:;1.'-13 BLOCK <br /> <br />PASCO PERMIT SERVICE <br />PHONE 813-788-5314 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION [me.r~d. P(:)-(Vl.te 12v <br /> <br />PARCEL ID # ~"-~(,-~I- b070-()()()(X)- ~L{30 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: G?NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK SheJ I lAfi I,'+~&..~ <br />BUILDING SIZE ID X .;t~ SQUARE FOOTAGE C;?.;).O <br /> <br />RES IDENTIAL: <br />COMMERCIAL: <br /> <br />HEIGHT ~e. pl~s <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 Fom1S. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />1!1' BUILDING <br /> <br />$ I?, 300.00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />" <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />~ PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLl,TION <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 />~ J.....~ FINISHED FLOOR ELEVATIONS <br />It) <br />IV <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE ~ ~~2.-1 <br />t7 <br /> <br />********************************************************* <br /> <br /> <br />AlCA.lM._ <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 />