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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 89 St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />/J - JPJ. -- .-."1 <br />DATE RECEIVED ~ ..::.;- u <br />PASCO p~RMtr SERif" <br />PHONE CON'1'ACT FOR PERMITTING (-'!Sw(O-'B;l.L{-7g9tf <br /> <br />OWNER'S NAME <br /> <br /> <br />PHONE <br /> <br />JOB ADDRESS <br />LEGAjr. DESCRIPTION: LOT (S) 7 q <br />PARcEL ID ,. 6;"- ;z,-~- OOI/) - OStYJD- 0630 <br /> <br />(OBTAIN <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br />[JSIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />[J ADDITION <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />[J INSTALL <br /> <br />[J MOVE <br /> <br />OMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J,. OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOMI <br />[J OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />JO()(h (J ndef e.XiS+'0J <br />SQUARE FOOTAGE ~ <br /> <br />C-41~r-b <br /> <br />DESckIPTION OF WORK 5cr-e.en <br />7'/ "", 17"" <br />BUIL1HNG SIZE '" ~ _ ~ <br /> <br />HEIGHT <br /> <br />RESIllENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMJkERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF! SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />lQ. BUIJ!,DING <br />o ELEGTRICAL <br /> <br />$ S-OD ~ <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />[J <br /> <br />W.R.E.C. <br /> <br />[J PLmfaING <br />[J MECItANlCAL $ <br />o GAS [J ROOFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J OTHER <br /> <br />TYPE iOF CONSTRUCTION: 0 BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />o OTHER <br /> <br />, <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES [J NO <br /> <br />SIGNATURE <br /> <br />... .. -'.-' ",' . --, . -, " ...... - .-- . <br />~~~,~~-'t~~li:9~tQ1i <br />COMPANY 0 Wn.e",r <br />;1-.--.. .; I P 7 STATE CERT OR REGIST # <br />**********~*************~*************************************** <br /> <br />BUILI)ER <br /> <br />ELEC*CIAN <br />i <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PWMBJ:R <br /> <br />COMPANY <br /> <br />SIGNAtURE <br /> <br />STATE CERT OR REGIST ,. <br /> <br />MEC~ICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />S IGNAfURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br />S IGNA1-too: <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br />