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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8D St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />!f Ilf /0:; <br /> <br />PASCO PERMlI S~R.V'ICE <br />PERMITTING 1-'lSIQ(i.,- g?-.L{ - 7S '1 t.I <br /> <br />DATE RECEIVED <br /> <br />OWNER'S NAME L4/1 of L drel1a. /YJ e C rJrl<./e <br />V" <br /> <br />JOB ADDRESS 33 J..(p I/h..i Ii.C/)/ l-t IJt II/e <br />LEGAL DESCRIPTION: LOT(S) J& BLOCK <br />PARCEL ID # t).-lf-J-h -J-I- OOJ-J- OCXJ<l) -OJ" 0 <br /> <br />PHONE <br /> <br />SUBDIVISION~ ~~~// )JO/^~ <br />I<. 1/ .i?LeJdr f <br />(ORTATN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: 9lSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATI ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />ro(Y)) <br /> <br />~CI L~, ,fJlff It. LJ6- /-10 <br />/' , <br />SQUARE FOOTAGE 5~1 f <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />ip. BUILDING <br />f:/J. ELECTRICAL <br /> <br />$ 3D, 3S0 - lJO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />c; (~ 't <br /> <br />o PLUMBING <br />o MECHANICAL <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 ~ NO <br /> <br />SIGNATURE <br /> <br />aONmRAcTOR. . SZCE:TIC:;>I <br />2'1'7.)":> COMPANY ~Uj'} v/a./e -4k~. hI. <br /> <br />~!-tl ~ ~/( - 450.1 STATE CERT OR REGIST # <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />S~k <br /> <br />~'l5.':;'b COMPANY <br /> <br />mar 1-0/1 <br /> <br />I: It t 1J'1~ <br /> <br />ELECTRICIAN <br /> <br />jJL -AJe;.-/ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />*************************************************************~~* <br /> <br />MECHANICAL, 35~::i."t COMPANY IJtLAt0.J II"Qpa-IJ Ale. <br />SIGNATURE w./-6- c:.... ~(- ,.4;(.-'-- f STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />