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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 />PHONE CONTACT <br /> <br />llME RECEIVED &/J.<( /ei' <br /> <br />PASCO PERMt, SE:RV'/( <br />FOR PERMITTING 1-'6G,(rg~L{- '7g9tf <br /> <br />OWNER'S NAME ~e('('~ <br />JOB ADDRESS .3 9 30 ;;;t <br /> <br />&yt- <br /> <br />t.J Cl..-n l'a.~ Dt'. <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT (S) <3tf BLOCK <br />PARCEL ID # 01-:;&-;;1..1-0070-(2)(<00-- 1<l~O <br /> <br />SUBDIVISION Caun.tf''j Pnr-e-. Vi /I ~~J <br />(OBTAIN FROM PROPER~ TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />OSIGN <br /> <br />~ ADDITION <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE:P(SGL 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 />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK Ai \A.VY\n'llA~ 8tc.i~Je (Cttrpo,t, ~e€~k?t"tl "Sh€~) <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) 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 />NDC <br /> <br />$ 5500.W <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />(~VI (Lf-? <br />#90, n <u <br /> <br />J( BUILDING <br />o ELECTRICAL <br /> <br />PERMITS REQUESTED <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 /> <br />OGAS <br /> <br />o ROOFING 0 SPECIALTY <br /> <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 />SIGNATURE <br /> <br />~~ JJL <br />t/ <br /> <br />C~TORh'S.CT:tON <br />:L. '~'.. ;.>'__' '~":""':'_;"-';_'';-''';''''_~':'';'''_,'-)'':'-: " _ .:.~., _' ._ _ '~._.:: <br /> <br />COMPANY~Y'\5 A\ U~l ~l.-\V--- <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST # <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 />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 />