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<br />CITY OF ZEPBYRHILLS PEmaT APPLICATION <br />BUl:LDING DEPARi'HEN'l 5335 8ft at, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED 9- /J/~ 0 t/ <br />PASCO Pf;RHrr SE:"Rlf/< <br />PHONE CON'l'AC'l FOR PERMI'l'lING 1-'lS",G,-g~l.{-7gcfll <br /> <br />OWNER'S NAME &:/'~etU L/l/rJ.r <br /> <br />v 7 ~O{; /lev!q;/17 <br /> <br />LEGAL DESCRIPTION: LOT (S) ~ l BLOCK <br />PARCEL ID It .Jy-~S' -02/ - 0090 - 00(jJ(j - O~ () <br /> <br />JOB ADDRESS <br /> <br />.. . . " <br /> <br />CI//'I-J-f L of fJaJ-rICIQHONE <br />4ft , ~fJL:;r k'/ff ~/'. ddJ"1./ /7fc 9' <br /> <br />SUBDIVISION &:-nd /lOr/20M iJlI-/ <br /> <br />WORK PROPSED: Lw CONSTRUCTION <br /> <br />{ORTATN FROM PROPF.RTY TAX NOTICF.l <br /> <br />o ADDITION <br /> <br />tBtALTERATION <br /> <br />o REPAIR <br /> <br />a INSTALL <br /> <br />OSIGN aMOVE a DEMOLISH <br />PROPOSED USE: QtSGL FAMILY DWELLING OMin.TI-FAMILY Oft OF UNITS <br />o COMMERCIAL 0 INDUSTRIAL a SWIMMING POOL <br /> <br />o MOBILE HOMI <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT AfPROVAL <br />- J , I <br /> <br />DESCRIP'lIOO OF WORK Ji/a-!"J '-'00111 tutt:ltz.r ..txIJ .J1;(p {Yll"'j'opf <br />/ '- 'tl (/" I - . '1 D{} If <br />BUILDING SIZE ~ 0 SQUARE FOOTAGE ~60 HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY <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 /> <br />FORMS . <br /> <br />~ BUILDING <br />(t..ELECTRICAL <br /> <br />$ <br /> <br />. OU <br />~. S-rX)" <br /> <br />PERMJ:TS REQUESTED <br /> <br />cpo . ~~ J~G;" <br />'::j r ~:::.. ti-L~i.t r <br />/?~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />.AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />a <br /> <br />Ii.R.E.C. <br /> <br />o PLUMBING <br />a MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: a BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />~OTHER cZf.(f.rYJ/~t{ Ji^./' <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />****************************************************************** <br /> <br />~~~~I(t~;,~g~~~', ~ <br />COMPANY: .s~ ~+cd-~. It, (..Uyt l ~ I{ ~ ,~ <br />STATE CERT OR REGIST # () /tY.~ 9t1 ~ <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />~ (}iL <br /> <br />ELEC'l'RICIAN <br /> <br />SIGNATUREItu.i.~~ (~~ <br /> <br />COMP <br /> <br />{! rd.-l1drtJl Gl e~_-Irt "0 <br /> <br /> <br />STATE CERT OR REGIST It <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 It <br /> <br />***************************************************************** <br /> <br />O'lBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />