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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8'1'11 St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />c~ 1!2.:J!d1 <br /> <br />PHONE CONTACT <br /> <br />DATE RECEIVED 9- /1/ -otf <br />PASCO p~RMlr S~RIfI< <br />FOR PERMITTING 1-'!SlQ(r'B).L{--7gQt.j <br /> <br />~Nc7 76' L'. ;/01] 6 IS <br />JOB ADDRESS 3111} CW~f2 ()r/~~. ~i:JI',l./lv <br />p~,/ <br />LEGAL DESCRIPTION: LOT(S) /7U; BLOCK <br />~. tf- O>ft, -~ -OOuO- ()(roJ- 17 Is, () <br /> <br />OWNER'S NAME <br /> <br />PHONE rfOJ- 77.2- cP3.:l ~ <br /> <br />SUBDIVISION EIU1YJ..id p(j1;)e lCi <br />fUJ-IOI' f <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: 'NEW CONSTRUCTION <br />OSIGN <br /> <br />D ADDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />D MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />0# OF UNITS <br />D SWIMMING POOL <br /> <br />o MOBILE HOME <br />D OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK m~.~r I/r;~ /bl'/- <br />~(/y. tf,;L I t J! I <br />/lIE <SJlAf/[ <br /> <br />SQUARE FOOTAGE <br /> <br />/3tJl/P <br />. <br /> <br />HEIGHT <br /> <br />pl' <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 />q(BUILDING <br />( ELECTRICAL <br /> <br />$ <br /> <br />rJS, (X)(). 00 <br /> <br />VALUATION OF <br /> <br />2~Z~ <br />.hfS". O~ <br />~ 21 '5-~ <br />TOTAL CONSTRUCTION <br /> <br />/?,;L)) l. <br />fi-u~. <br /> <br />J JUt", ~, <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />~PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />DGAS <br /> <br />D ROOFING D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />~ <br /> <br />D STEEL <br /> <br />ot:.OTHER iI(.'.<.rJ-U:'11{ ~"'- I20c F <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES 0 NO <br /> <br />SIGNATURE <br /> <br />~~.._-"_.__.__. <br /> <br />s-- <br /> <br />n _, _. _ do . _ ..' . ____ . <br />C~TORi;SBCTION <br />~,. . .~ ','-:. :", . -' -:,: "; -<-:~ '-'-"';-'.~-,;. .;. ->".-.;,.:--- .,j'~':- -. '. - --~. - -" >-, - -; ~:, , <br /> <br />.._m__~:,~ COMPANY OWn~(" - Kenl'le'//, R 1Io1:Je... <br />STATE CERT OR REGIST # <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~':::;:::-;;::7=~' . <br /> <br />COMPANY OU)"'~r- K~nl1e#t 1C.1fodye. <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ <br />~~~:-:~ <br /> <br />COMPANY f)Wvzer- Kt'Yln.efh I!..- ~e <br />STATE CERT OR REGIST # <br /> <br />PIDtBER <br /> <br />****************************************************************** <br /> <br />MECHANICAL <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 />