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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 <br /> <br />DATE RECEIVED <br />PASCO p~RM(r Sr=:RlflC <br />PHONE CON'J'ACT FOR PERMITTING 1-<6w(q-g}.t{-'7gqtj <br /> <br />OWNER'S NAME t;.J r CJ; f ~ M. C Du..f: ~ (~ <br />JOB ADDRESS (p I 3D [7 +"- ~ t-. <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION Pa...f"/<.. tti Ii <br /> <br />PARCEL ID # D;). - ;;. (p - ;1. t - 0 ( f 0 - ODOOO- 0 ;l.50 <br />WORK PROPSED: ONEW CONSTRUCTION il(ADDI T ION <br /> <br />(ORTATN FROM PROPF.RTY TAX NOTICF.l <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE: ~SGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS <br />o COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ROOM Ad.d.i+lO~ w I b~ <br />BUILDING SIZE oU, J<- 3~ <br /> <br />SQUARE FOOTAGE <br /> <br />qgft <br /> <br />HEIGHT .5 e"(. pla..~ <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 />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br /> <br />o <br /> <br />PERMITS REQUESTED <br /> <br />~ BUILDING <br />~ ELECTRICAL <br /> <br />$ 30( (J(}e) <br /> <br />VALUATION OF <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />fj(FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />I <br />alL I <br />~I, ~ vf <br />f!>f3 <br />Jt 3011 <br /> <br />~ 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 />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />ELECTRIC <br /> <br />BUILDER . ~__ ~ <br /> <br />SIGNATURE /' J~ ~ STATE CERT OR REGIST # <br />****************************************************************** <br />~ OMPANY~ ~j~iJ)J?/ <br />1447 <br /> <br />C()~TQP.CS&C-r:tON <br />l.:,-. ~'."..'-,';'..~ _' -'~":':"'--:>"""":-'~""''''!:'':'':'.'';C.~'-, '. .......~. ;'n_, ,:,_:__, <br /> <br />COMPANY E4..-r <br /> <br /> <br /> <br />SIGNATURE <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />************************************************** <br /> <br />PLUMBER!J '~ COMPANY,~~~ <br /> <br />SIGNAT~~h ____ STATE CERT OR REGIST # <br /> <br />......... ..... ..............................................~ t <br />MECHANICAL ~ ...- COMPANY I J)S~7 / vb.,'~.5''''-- ~ pi- ,VR ILl C. <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />OTHER <br /> <br />COMP <br /> <br /> <br /> <br />**************************************************** <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />