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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 eft St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 8/ / <br />DATE RECEIVED 3 /c~/ <br />PASCO PER~{r Sr;:-RV'I( <br />PHONE CONTACT FOR PERMITTING 1-'!Sw(c-g}.l.{-73Qlj <br /> <br />OWNER'S NAME Verlon C.~orn <br />JOB ADDRESS 5 3 J./. 5" d 3 ('~ C:1t-. <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # I~-;l~-~l- D030-00f400-0l~D <br /> <br />SUBDIVISION ...Mph y r 11 e\~fs <br />(ORTAIN FROM PR~PER;Y TAi NO~IC-El <br /> <br />WORK PROPSED: CJNEW CONSTRUCTION <br />OSIGN <br /> <br />J2(ADDITION <br />o MOVE <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />o !!PAIR <br /> <br />D INSTALL <br /> <br />PROPOSED USE:~GL FAMILY DWELLING <br />CJ COMMERCIAL <br /> <br />OMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />D SWIMMING POOL <br /> <br />o MOBILE HOME <br />D OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK 6c.r~e."" Enclo5lA..('~ f='vr ex l'5t-1~ pl>O \ <br /> <br />BUILDING SIZE .;.15')(45' SQUARE FOOTAGE 11~5 t/1 HEIGHT ~~ pttU.c.S <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. 11 <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. jp 97. 5 0 <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br /> <br />a!.BUILDING <br /> <br />$ tAw,W <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o GAS <br /> <br />CJ ROOFING CJ SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />D STEEL <br /> <br />CJ OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />SIGNATURE <br /> <br />~ ~tl>- <br /> <br />CONTRA.CTOR,CiSBCT:tbN <br />\.:- ',',,-';.' - ; .:' . -; -. '.<: ,':.-, : :_'_';..>;....\i:.'. _>::....~,.:. ,-')r:.", :.;. .>'.:-:. Co '.' :', _ . . ~".:o. , <br /> <br />COMPANY P:,ahr'.s Al~ir1/"(r\V ,rV\c.. <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 />~ <br /> <br />STATE CERT OR REGIST # <br /> <br />* *"4- * * **'** * *** * * * ** * * * * * ** * * * * * * * * * * * * * * * * * * ** ***.* * * * ** * * * * * * * * * * * <br /> <br />OTHER <br /> <br />'~':;.' " '.. <br />,,;.. '; .', ,1". _, { <br />: ,:';'~-..t.,;...,.'t,:.; ,~, <br /> <br />COMPANY <br /> <br />/~ .~'c,r~~';',','" ~i1I <br /> <br />SIGNATUBE" ~, y _" <br /> <br />;" -~,'..,."".;; ~ <br /> <br />~.J"'.; <br /> <br />STATE ctR~',:~;~IST 'i <br /> <br />~, ':-'~ ~~.,.....~, 0,-"', <br />