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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8ft St, Zephyrhills, FL 33542 / <br />813-780-0020 FAX: 813-780-0021 DATE RECEIVED~~Il~60~ <br /> <br />PASCO PE'RMlI S~R.IfI, <br />PHONE CONTACT FOR PERMITTING 1-~wG,-8).4.-7g9i.f <br /> <br />OWNER'S NAME <br /> <br /> <br />PHONE <br /> <br />(h, 53Sl-tO <br />LEGAj:. DESCRIPTION: LOT (S} ~ BLOCK SUBDIVISION ~~ olwt..k.- <br />PARctL ID # d.~"'" Jt,.-J ;).1- /)bfD-60~-- ').?j700BTAIN FROM PROPF.RTY TAX NOTICEl <br />WORK PROPSED: ~W CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR 0 INSTALL <br />OSIGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE:~L FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS <br />o COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL <br /> <br />JOB ~DRESS <br /> <br />o MOBILE HOMl <br /> <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESC\tt""ION OF WORK 1ft/uti btl-lf, I ufi /11t rO~ff) <br />BUIL~ING SIZE / ~x 3 ~ ) SQUARE FOOTAGE '8i .IjJ <br /> <br />HEIGHT <br /> <br />RESIj>ENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />C~RCIAL: 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 />~UItDING <br />o ELE<t:TRICAL <br /> <br />$ //)~O()l5Q <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PL~ING <br />I <br />o MEc$ANlCAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />OGAS <br /> <br />o ROOFING 0 SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br />FINI$HED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES 0 NO <br /> <br />SIGNATURE <br /> <br /> <br />.. '--' .- . -- ... .,.--....- - '. <br />c~roR)"'SZCT:tON <br />~ _' _' '~:':;', :.; ',: - .,~!.-;~. '.,;-,_<--,;-. <of;'~' ':'>~'..: ".-'::": -. _ _":_. .'. ,.' _ ;_:;; <br /> <br />COMPANy-.Jer-~ \"Y\'J '~ Qt.ud \ ~ AI \'('1.&'\'''\ L( 1M... <br />I <br />STATE CERT OR REGIST # ~ <61 <br /> <br />****************************~ <br /> <br />BUILI))ER <br /> <br />ELEC'l'RICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MEC$ICAL <br /> <br />SI~TURE <br />! <br />I <br />OTHE* <br />SIGN1TURE <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br />