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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8'1'B St, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br />PASCo P~RM{r S~Rlfl( <br />PHONE CONTACT FOR PERMI:TTI:NG 1- '64>l4 - g;l..i{ - 7 g eft-/: <br /> <br />s/;j,y <br /> <br />OWNER'S NAME kc.eJAt- Market\~ <br />JOB ADDRESS 5'31 Go-ft Blv&. <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S} <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # (0- t9.~- .;1.(- OO~-ooooO- 0057; <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE:OSGL FAMILY DWELLING <br />~OMMERCIAL <br /> <br />(OBTAIN FROM PROPF.RTY TAX NOTIC-F.l <br /> <br />DlADDITION <br />o MOVE <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK A t L.(..V~ll~L(.~ 'Pa.+lO ~\Jer <br /> <br />BUILDING SIZE <br /> <br />('1 )(. ;to <br /> <br />SQUARE FOOTAGE <br /> <br />0230 <br /> <br />HEIGHT see...rl44s <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />-iCe 7. <1J <br />{;B <br /> <br />"" <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />)Bf BUILDING <br />o ELECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ ,;)~oD. ()O <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 PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />OGAS <br /> <br />o ROOFING 0 SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />o FRAME <br /> <br />[] STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />BUILDER <br /> <br /> <br />~~~J\,$.~~J:~ <br />COMPANY ~ ert""'Yl"\J'~ GLAQQii,. At~. <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />*************************************** <br /> <br />ELEC'1'RI:CIAN <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 />MECHANICAL <br /> <br />****************************************************************** <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 />