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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 DATE RECEIVED . I) /;F:/~f <br /> <br />PASCO PdMII SE"Rlfl. <br />PHONE CON'l'ACT FOR PERMITTING (-'6lC(Q--g~t{-7g91.f <br />PLEIt-SE' CR-LL 0 W~~R. <br />foR. PICK-UP <br />OWNER'S NAME PHONE 770 _ I _ <br /> <br />JOB ADDRESS ( '5 -t 335"0/'0 <br /> <br />LEGAL DESCRIPTION: LOT (S) c:l. '1'1 BLOCK SUBDI SION 6lJer-aJd Pot hk <br /> <br />PARCEL ID # ~J./-c1...b -ctJ- 0000 - 00100 - ;;2-7q~TAIN FROM PROPERTY TAX NOTICE) <br /> <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />[J ADDITION <br /> <br />OALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />[JSIGN 0 MOVE [J DEMOLISH <br />PROPOSED USE:MSGL FAMILY DWELLING OMULTI-FAMILY [J# OF UNITS <br /> <br />o COMMERCIAL <br /> <br />[J INDUSTRIAL <br /> <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOMl <br />[J OTHER <br /> <br />DESCRIPTION OF WORK 1-an~ <br />6~eeN IDX II., <br />BUILDING SIZE I3Ffn+ 10 X 8 <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />(6(!f~~ ~.. 8"t.fh~a..ft/I'7 ~nt) <br />/OTJ9l.- <br />SQUARE FOOTAGE OlLfo If' HEIGHT SeE Pt...I9AJ5 <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & ( I) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> PERMITS REQUESTED <br />f)( BUILDING $ GSm.t70 VALUATION OF TOTAL CONSTRUCTION <br />~ ELECTRICAL AMP SERVICE [J FLORIDA POWER [J W.R.E.C. <br />tl( PLUMBING <br />[J MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />[J GAS [J ROOFING [J SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES [J NO <br /> <br />BUILDER <br /> <br />.....--. --, ,--- , .....,-...-.. - .-- . . <br />CQ~TOa\,S.CT:tQN <br />J>. ~":.". ;.: ..... .;'..~';':', ""',,"'-'.,-.<:.:,:'- ,._,;;<....-"..'.i'.-._ '.. _.c.;,". -;. ".. , '..' ,.,., <br /> <br />COMPANY CtvI1t'1'" <br /> <br />~~L?~ STATE CERT OR REGIST /I <br /> <br /> <br />*** ************************************************************* <br /> <br />~ SIGNATURE <br /> <br /> <br /> <br />COMPANY Own~r <br /> <br />y) <br /> <br />STATE CERT OR REGIST # <br /> <br />**** ************************************************************ <br /> <br />PLUMBER COMPin'4Y Owner <br />, SIGNATURE STATE CERT OR REGIST # <br /> <br />MECHAlfICAL <br /> <br /> <br />************************************* <br /> <br />v <br /> <br />COMPANY <br /> <br />SIGNAtURE ~ <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />