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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8'1'B St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED 5-/1- (lV' <br />PASCO P~f?M(r SERV'I( <br />PHONE CON'l'ACT FOR PERMITTING 1-.gwG,- gAL{ -7g q tf <br /> <br />m (! e CLA-/) C try loll IC ,L 4./-ty <br /> <br />JOB ADDRESS & Old ;!. ( .~ e IOti,-! f)/'I J.t. <br />v J <br />LEGAL DESCRIPTION: LOT(S) 6-ji <br />03 - <Y-.{, .~ / - ()j.1O - 00000 - ~-:s- <J <br /> <br />OWNER'S NAME <br /> <br />fJ PHONE <br /> <br />SUBDIVISION "L€jJ4r L t o}e <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />(ORTAIN FROM PROPF.RTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION l}!f ADDITION DALTERATION 0 REPAIR <br />DSIGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE: ~GL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS <br />o COMMERCIAL o INDUSTRIAL DSWIMMING POOL <br /> <br />o INSTALL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK {- CLl'pO r f.J 0' C I'eR ^- roO;" 7'" \S k cI IJ A- <br />BUILDING SIZE lo1. t- SO ' SQUARE FOOTAGE (p 00 If <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 />$ <br /> <br />1)0 <br />(p, S()O . VALUATION OF TOTAL CONSTRUCTION <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY <br />FO""j- <br /> <br />'If> CtJ I C;" <br /> <br />FORMS. <br /> <br />IaUILDING <br /> <br />'bLj(, <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o GAS <br /> <br />o ROOFING 0 SPECIALTY <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 AREAD YES D NO <br /> <br />****************************************************************** <br /> <br />~~~g0;"~~P'JJ.:t~ <br />COMPANY U{lA..fU- Ak/Jf.jIJ//,"- ,X). C <br /> <br />0/ rlio?J <br /> <br />STATE CERT OR REGIST # <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />~~&&"- A-t I( <br />(/ <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUHBER <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 />