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<br />DATE RECEIVED rJ~ 10- tJ .5 <br />PLANS REVIEW FEE <br />PASCO PERMIT SERVICE <br />OWNER'S NAME tJ~ nt. aLA- p:6ti~7J-~ 135 <br />~/-!d-tg, 77stl) <br />SUBDIVISION fflfha. V/ lIa.ye~ <br /> <br />APPLICATION FOR PEmaT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />JOB ADDRESS 7;L I cy <br /> <br />6~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # .~r;-::l~-.:lt-005'O-cx:x:;a:)-OfD70 <br />WORK PROPSED: []NEW CONSTRUCTION ~DITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />[]ALTERATION <br /> <br />[]REPAIR <br /> <br />[] INSTALL <br /> <br />[] SIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />[] MOVE <br /> <br />[] DEMOLISH <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[]# OF UNITS <br />[] SWIMMING POOL <br /> <br />[] MOBILE HOME <br />[] OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />6(' ('('" e.n <br /> <br />Room and conC(,,~Ic.. <br />14tf <br /> <br />BUILDING SIZE <br /> <br />I~\x.. I~' <br /> <br />SQUARE FOOTAGE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />HEIGHT c;e.e.plttk..<t;. <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 />$ S !1/3 . 00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />~ILDING <br /> <br />PERMITS REQUESTED <br /> <br />[] ELECTRICAL <br /> <br />AMP SERVI CE <br /> <br />[] FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />[] PLUMBING <br />[] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES <br /> <br />[] NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE~~ U~ <br /> <br /> <br />****************************************************************** <br /> <br />COMPANY R.J: ~ ill t<.rn,"nu ~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <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 />