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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8'1'11 St, Zephyrhills, FL 33542 <br />813-180-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br />PASCO p~ Mll SE:RIfI< <br />PHONE CONTACT FOR PERMITTING 1-'iScqG,-g:;\4.-'7gqLj <br /> <br /> <br />OWNER'S NAME <br /> <br />f) Of) tftLlJt.l/ <br /> <br />JOB ADDRESS L () f / r)- <s I U Pi f/dl/dtu ,e // <br /> <br />LEGAL DESCRIPTION: LOT (S) J ~ <br />OJ -~(p-oJ-J- 00/0 - OS<X>O-tJQ3() <br /> <br />PHONE <br /> <br />/adC, <br /> <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />OSIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />~ REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM! <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK rOO../. - ov.er <br />BUILDING SIZE /0 '1..3 'I SQUARE FOOTAGE \J if IJ " <br /> <br />HEIGHT <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 />FORM3 <br />P Co 7. 5"cJ3LPG ~ <br /> <br />$ <br /> <br />fP <br />cJ.~ () 1ft), <br /> <br />PERMITS REQUESTED <br /> <br />rf. BUILDING <br />o ELECTRICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />WtR.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <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 />o FRAME <br /> <br />o STEEL <br /> <br />pi..OTHER tUtlhfA nil /Iv'- <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />SIGNATURE <br /> <br />~ ~~i () l<-V <br />Y f' <br /> <br />****************************************************************** <br /> <br />r::~~"}~~J%~'l':t~ <br />RT '\S' ,,4 6ux. .,. PJt{fo~r" <br />Cot... f/"{i a lor ./ <br />STATE CERT OR REGIST # <br /> <br />COMPANY <br /> <br />BUILDER <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 />****************************************************************** <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 />