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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8ft St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br />PASCO p~RM{r S~RIfI( <br />PHONE CONTACT FOR PERMITTING (--gwCc-g}.L.{-73Cpj <br /> <br />C J ;If(Jf'd i ///l7fL'/l I<Jr/c <br />3/ft.jJ 7O/Jr/l{ci.j/~ IJrjJ/e- <br />LEGAL DESCRIPTION: LOT(S) J fll BLOCK <br />PARCEL ID * ~ if ~~ Go - ,)./ - ()(}id - OaJUO - ;.). f / () <br /> <br />OWNER'S NAME <br /> <br />PHONE <br /> <br />- Z€,IJJy rk)/J 1-/ . <br />SUBDIVISION ~ /"lLiI 1'011---1 /tj/ <br />(ORTAIN FROM PROPERTY TAX~ff/;\t <br /> <br />JOB ADDRESS <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />oSIGN <br />PROPOSED USE~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <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 />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />lallCt.../ <br />I.J.. )l .]0).. <br /> <br />SQUARE FOOTAGE ~ I' V zj <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />"~ <br /> <br />/fQ U filM. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br />Yf ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />OGAS <br /> <br />o ROOFING 0 SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />}A FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />BUILDER <br />SIGNATURE ",-0/ a {'~'-~ ()u / i- <br /> <br />coNDAcmoRt',SECT:tON <br />:.: - '-' .~ :,'~' -; .,,-; ';'c: ,';,.:.'_'..",; --~'!:.i c. .':;'.,.:' ::;C<:... -, _ -.:':. ':0 : ~ : _ ~;.:,_ , <br /> <br />COMPANY E as) Pa,.reo I' Le c'; ri,~ <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 />