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<br />ll' <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING D PARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />10/87/0;; <br /> <br />I <br /> <br />OWNER'S NAME <br /> <br /> <br />PHONE CONTACT FOR PERMITTING <br />PASCO PEH~ln S~RViCE <br />Ilf.s Or! l.l,C - 74 &/(ndHONE 1-866-824-7694 <br />IJ / V cI. -+- ~~"<'ec-+ Md <":'e8 "Tell Free <br /> <br />SUBDIVISION f)Jry~.jtt ()4/tr ~JI <br /> <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT( <br /> <br />BLOCK <br /> <br />PARCEL ID # <br />WORK PROPSED: }QNEW CONSTRUCT ON <br />DSIGN <br /> <br /> <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: 0 SGL FAMILY <br />o COMMERCIAL <br /> <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c <br /> <br />, <br />'I X. '10 I <br /> <br />TAURANT & HEALTH DEPARTMENT APPROVAL <br />/VOr>1 JMo,i <br /> <br />SQUARE FOOTAGE <br /> <br />...sU of <br />S"~O , <br /> <br />tJ4 <br /> <br />DESCRIPTION OF WORK <br /> <br />~ BUILDING <br />~ ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />/, IbO. (JJ <br /> <br />VALUATION OF <br /> <br /> <br />. E . C . b \'- , <9 i- <br />t'\>Z\ Pr <br />o <br /> <br />RESIDENTIAL: ATTACH (2) PLOT <br />COMMERCIAL: ATTACH (3) SETS <br />IF SIGN PERMIT ONLY (2) SET <br />PROPERTY SURVEY <br /> <br />PLANS & (2) SETS OF BUILDING PLAN <br />OF BUILDING PLANS & (1) SET ENE <br />OF ENGINEERED PLANS REQUIRED. <br />REQUIRED FOR ALL NEW CONSTRU ION. <br /> <br />PERMITS REQUESTE <br /> <br />AMP SERVICE 0 <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALT <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />w-/6-t- <br /> <br />"1I.ij~ <br /> <br />BUILDER <br /> <br />IL <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN <br /> <br />****************************************************;1T~~~**~~~Iit <br /> <br /> <br />#5"- o::>~ COMPANY b,(JiI &Ar fJkA6},trJ <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />~k <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />'- <br />I "2<u$"V <br />'/ 7). <br /> <br />COMPANY (!hrr"~ &Jv f1uJ/~ <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />~&- <br /> <br />IV ' ,,~ <br />********************~\***~*********************************** <br /> <br />MECHANICAL COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />**************** ~*********************************************** <br /> <br />OTHER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br />