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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER' S NAME~a.t'lIA.e.1 Gonz.a..l ~-z...... <br />JOB ADDRESS .3 746/ rJ etA-koY\1 Ave.. <br /> <br />PASCO PERMIT SERVICE <br />PHONE 813-788-5314 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISIONGrGtnJ [-for 17 Dn s <br /> <br />BLOCK <br /> <br />PARCEL ID # ~ - a.5" -~l- ooqo- 0??oo- l ~ 00 <br /> <br />DSIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />~DDITION <br />o MOVE <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />~LTERATION 0 REPAIR 0 INSTALL <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <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 />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />D Glttss ~ <br />liv;l'I~ ~::LO <br />FOOTAGE P.::l.+-io ~ ~5" <br /> <br />PCLtlO Covers <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />SQUARE <br /> <br />I4-dd <br />R' <br /> <br />HEIGHT 5l!:~ p/~s <br />, <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 />~UILDING <br />IlYELECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <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 />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br /> <br />BUILDER <br /> <br />~ COMPANY Kt-n t.<.1'1i Lb"Srrkc/to;'" <br />STATE CERT OR REGIST <br />SIGNATURE ~ ~ CITY PROCESSING i <br />/ . <br /> <br />** *************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE'I-'=;~ f~ 2_ <br /> <br />COMPANY OW/I'l/er <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 />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 />