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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARn-mNT 5335 8'1"11 St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 - ~ . h <br />DATE RECEIVED 5/ -</ /tP V <br />, <br />PASCO PERMlr SE"RIfI< <br />PHONE CONTACT FOR PERMITTING 1-~lC(o-g).L.{-7gC::P.1 <br /> <br />OWNER'S NAME R lCha..rd c..ook PHONE <br />JOB ADDRESS 35~8 -rDUfma.I,'V\e., 'Dr,} Zeph.yrhi lis <br />LEGAL DESCRIPTION: LOT(S) ;{7o BLOCK SUBDIVISION Eme.raJd PoI~t i2Uk?e.5cJ.rt <br />PARCEL ID '" ,;J..l/-:2ts,-';)I-OO~O-C'ooco- :::?700 (ORTAIN FROM PROPF.RTY T~ NOTICE) <br />WORK PROPSED: ifNEw CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR 0 INSTALL <br /> <br />DSIGN <br />PROPOSED USE:O(SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0", OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />LaV\.~ <br /> <br />BUILDING SIZE <br /> <br />I ;2.. K. 3 ;;L <br /> <br />SQUARE FOOTAGE 3 '8' '-I <br /> <br />HEIGHT Se~ O{aA..'5 <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 />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />/l{ BUILDING <br />o ELECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />';'Z'Z5 <br /> <br />:-'....~ <br />-..;) <br /> <br />$ ;(2./" OOtJ. 00 <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 />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />J3( FRAME <br /> <br />o STEEL <br /> <br />~ OTHER c;)tA.~{;"K"",", ~F <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />~~~~}~~E~T:t~ <br />BUILDER COMPANY JeYe:~J 's q~,.'7 I4fulNl,i.-,t(.--., <br /> <br />SIGNATURE .Jk~ ~ STATE CERT OR REGIST H <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 />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 />