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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8D St, zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 DATE RECEIVED ~- ~~()~ <br /> <br />PASCO P~RMll S~Rirl' <br />PHONE CONTACT FOR PERMITTING 1-'BwG,-8}.l{-7g9i.f <br /> <br />OWNER'S NAME~ ~bn~ <br />JOB ADDRESS 5" . p~ ~ Ltr . . 'R-. ~1-? 2~ <br /> <br />LEGAL DESCRIPTION: LOT (S) ;;);;).;;5 BLOCK SUBDIV SION <br />PARqEL ID # .J- 4 - ;u, --;;J..t - 06 too - 6 D OW -- d-- ~~N" <br /> <br />WORK PROPSED: ~ CONSTRUCTION 0 ADDITION OALTERATION <br /> <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OS~ <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />OSWIMMING POOL <br /> <br />o MOBILE HOMI <br />o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK --Pr€-- ~ shed- <br />BUILDING SIZE f X 10 SQUARE FOOTAGE q D ~ <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: 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 />~Il.DING <br />o ELECTRICAL <br /> <br />$ <br /> <br />J Lfll 0]2. <br /> <br />PERMITS REQUESTED <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. 0 ROOFING 0 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 AREAO YES 0 NO <br /> <br />BUILDER <br />SIGNATURE ~~ ~~, STATE CERT OR REGIST # <br />*************** ************************************************* <br /> <br />.- '--" '" "". . .. -'-"'... -' .---. . <br />CO~TOR-;;.SECT:t01i <br />1 . ,"'~-' '.'- ;.....,...~:!.. <. '. ,.;::_.:....-,.., ;.':i~':. '. 'i;; <..: "., -.~ "_'-."." .. _'.C. :0". ;.....:." _~,_.:':'. , <br /> <br />COMPANY Clvner <br /> <br />ELECttUCIAN <br />SIGNA~URE <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER I <br />SIGNAtURE <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br />