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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8'1'8 St, Zephyrhills, FL 33542 II <br />813-780-0020 FAX: 813-780-0021 if; .:< 7/0 Y <br />DATE RECEIVED . <br />PASCO p~RM{1 SERV'IC <br />PHONE CONTACT FOR PERMITTING 1-'6wlC-'B}.l.{--,gqtf <br /> <br />OWNER'S NAME Ar V\old Bv..-hl <br />JOB ADDRESS 35(& 'Pyrite. ;Dr. <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PHONE <br /> <br />SUBDIVISION ~merald PoiYlfe <br /> <br />BLOCK <br /> <br />PARCEL ID # J.t.f-~(,-;:).r-OO,,)D-axxJO-,~Dt..f.D <br /> <br />(ORTAIN FROM PROPF.RTY TAX NOTICEl <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERAT ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Oft OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORKL-a.V1a~ (Fra..VVLl~ OVl./J) <br />BUILDING SIZE I ~ 'I '2; ~ SQUARE FOOTAGE 315 cf <br /> <br />HEIGHT 5Pe flaM.S <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 />f;( BUILDING <br />o ELECTRICAL <br /> <br />$ If>/ (j)r). (}o <br /> <br />VALUATION OF TOTAL CONSTRUCTIO <br /> <br /> <br />PERMITS REQUESTED <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 />OGAS <br /> <br />o ROOFING 0 SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />~ FRAME <br /> <br />o STEEL <br /> <br />Q( OTHERt:llum/~l{W'-- r?:JoF <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />BUILDER <br /> <br />.-- ..".- -."- .". . -. ..-._, <br />~9~~g~';~J;9TIQN <br />COMPANY 0eV'"~V"1'j'~ a ua-Ury Iff l.tIAq;"'L(.~ <br />STATE CERT OR REGIST # <br /> <br /> <br />********************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <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 />****************************************************************** <br /> <br />MECHANICAL <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 />