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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 (p -1- O~ <br />PASCO PeRMiT SERlfl< <br />PHONE CON'l'ACT FOR PERMITTING 1-.gwG,- '6}.l.{ -7'6 9 if <br /> <br />OWNER'S NAME 0" a..vvte ~ <br />JOB ADDRESS 3 ~(qt..f S- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />Me,..idi+4 <br />RevYlDrc... Av-c. <br /> <br />PHONE <br /> <br />BLOCK <br /> <br />PARCEL ID # 0 ~ - ~c. - ;t I - O;l ~ cr 0000{) - oG.~o <br /> <br />SUBDIVISION 51 e~,;, I~ I (OLe;) <br />{ORTAIN FROM' PROPF.RTY TAX NO'J'ICF.l <br /> <br />WORK PROPSED; ONEW CONSTRUCTION <br />OSIGN <br /> <br />~DITION <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <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 />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />S hed. ~ s\a.b <br /> <br />BUILDING SIZE <br /> <br />(2XI'8 <br /> <br />SQUARE FOOTAGE <br /> <br />:Llk <br /> <br />HEIGHT <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 />FORM] . <br /> <br />fbeo 7,<;10 <br /> <br />e:<;;(CXJ.OO <br /> <br />PERMITS REQUESTED <br /> <br />~ BUILDING <br />o ELECTRICAL <br /> <br />$ <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 />OGAS <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 />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 /> <br />" ",-. "," - "-"'..-. <br />~TORi;SECTION <br />.'.i:. ~'~ ~;... - ;.::'.: '.~ ,~"': ,;> :_;..~;.'. .,~ '0 :';':' "'0' ", ---:i(_-- '. '. :, ,~: .- ._~ . __'_:; , <br /> <br />COMPANY Dw-l'\..e ....- <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <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 />