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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILD:ING DBPAR'l'MBN'r 5335 8'l'11 st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DAD RECEIVED /0 - ;) b - 0 V <br />PASCO Pf;RMlT SER.\fJ( <br />PHONE CON'l'AC'r FOR PERMIftING [-~(cCc-'i5;a.tf-7g9lf <br /> <br />OWNER'S N1\ME 7TfLCK {' &.II~ Jt!A.It ..sA~ (i... <br />.3Sdl! 1J74../a..el/ k IJrire <br /> <br />LEGAL DESCRIPTION: LOT (S) / eJ,7 BLOCK <br />PARCEL ID # eJ. 'I-~/' -01-1- OOl/-d- oatt)- /61-7 () <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION Cl'Un/l I1J/AA <br />/Lv iliUJrf Phtl\l..L TWO <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: oNEW CONSTRUCTION P' ADDITION oALTERATION 0 REPAIR <br />o SIGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE: IIfSGL FAMILY DWELLING oMill.TI-FAMILY 0# OF UNITS <br />o COMMERCIAL o INDUSTRIAL oSWIMKING POOL <br /> <br />o INSTALL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />~~rI""~ lIORK room <br />6e.~o f~~ I I <br />BU LDING SIZE ,.',a Jf .a~ <br />rlX tt.tJJ. ~'l&" \SktI tJJaP <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. {7 ., I <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. 1JllI t, <br /> <br />JllliL. <br /> <br />PERMITS REQUESTED fJ~b. <br /> <br />VALUATION OF TOTAL CONSTRUCTtti~1 ~ <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />ILtItIc...".J/dA <Sc ~A rod/}... I- u kcl <br /> <br />,. <br /> <br />SQUARE FOOTAGE ~aol p <br /> <br />HEIGHT <br /> <br />FORMS . <br /> <br />1$ BUILDING <br />~ ELECTRICAL <br /> <br />$ <br /> <br />~'/, 71'/. (jJ <br /> <br />7'7'-, <;. ~ <br /> <br />4- ,:>-, ~ ..;. <br />yJ- s~ <br />-, '). <br />_ ~-J <br />7\ . <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />IjJ PLUMBING <br />ad MECHANICAL $ <br />o GAS 0 ROOFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION ~ ,) S.3 '"1 <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />~ FRAME <br /> <br />o STEEL <br /> <br />Dl OTHER a..lum'~u.~ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES 0 NO <br /> <br />BUILDER <br /> <br />.- -'," ," - -,. . . - . -,'~ -.. -. ... . .. ". <br />~moR;~~;S.CT:i:()N <br />.L~'~ '.'.: .-;;' . ,;,',"_,''::-':,..-:::'.'''-';,-..:.r.;,::. ...,;;,.;..:.~".;;:!.-, c,. :-,C;,._ ';:'.~.,:,. .:'::,..:_: <br /> <br />COMPANY cS UIl tS.Ju A~. -XAC . <br /> <br />SIGNATURE ~I-CL e~ ~I L <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELEC'rRICIAN i . <br />SIGNATURE ~4~ Cz~ <br /> <br />COMPANY <br /> <br />C rfllLtI a.J / <br /> <br />c k't.Jrie- <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER 7 COMPANY cbi! 13J.r jJk.A./;/~9 <br /> <br /> <br />MECHANICAL COMPANY /3oJtr'5 Pr()pan~ G~ ct- .4-/~ <br />SIGNATURE STATE CERT OR REGIST # c~ c..o ~~9" y~ <br /> <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />