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<br />CITY OF ZEPHYRHILLS PERMIT APPLI:CATION <br />BUILDING DEPARTMENT 5335 8D St, Zephyrhills, FL 33542 ! ~ <br />813-780-0020 FAX: 813-780-0021 1'1 C () I/' <br />DATE RECE IVED / e;-L-. ~, l' <br />PASCO P~RM(r SeRif/( <br />PHONE CONTACT FOR PERMITTING 1-'B~(rgAL{-7g9tj <br /> <br />OWNER'S NlOO: LJ~O-I) I-I~(!hr <br />~'jIL~ .4P7R-IA!f\{f ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) ,;)./'1 BLOCK J?/)a.\lL3 <br />r:}tf-cJ ~ -01-/- d(J.s-O Oro:v- cJjYIJ <br /> <br />. PHONE <br /> <br />JOB ADDRESS <br /> <br />PARCEL ID # <br /> <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br /> <br />[J ADDITION <br />[J MOVE <br /> <br />[JALTERATION X REPAIR <br />[J DEMOLISH <br /> <br />[J INSTALL <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J # OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />)3( OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK J~eplace eXl'~tl~j YV1 D-n,r Pn,t Roof dav.\.Ct~r~ t,'OW\.. sbrm <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 /> <br />FT. <br />~ /2. ,<> /3Lj)(, <br /> <br />pl..BUILDING <br />[J ELECTRICAL <br /> <br />$ q tJ&O. ttO <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />D W",R.E.C. <br /> <br />J <br />~u~V' <br />./ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[J OTHER <br /> <br />[JGAS <br /> <br />[J ROOFING [J SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />[J FRAME <br /> <br />D STEEL <br /> <br />J (Jl\.t(.~e- fro........ p4.1t5 . <br />J,>>- OTHER -1-0 sf- r I.A c t u r a-( ('an e Is <br /> <br />IN FLOOD ZONE AREA[J YES D NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br />BUILDER <br /> <br />~~ <br /> <br /> <br />****************************************************************** <br /> <br />.. -_"'_ '. d___ , . __..." <br />CC>N'l1W:TOR}"SECT:tON <br />!.:" .'~ ".., ;..> ," - '-: :~:::-:, ~:>/<".-:.<~-,:.. ',:>.':'";,,_" >i'~'_-- "_.:;,; _ - '_". _ - - _'.;';" <br /> <br />COMPANY j!. l?/7 ILJ ;/ & <br /> <br />C,/Af//'u. d /6n <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <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 />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 />