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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8ft St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED II !is /cis <br />/ / <br />PASCO PERMlI SERVICE <br />PHONE CONTACT FOR PERMITTING 1-'6lQ(r'B).t{-7g9L# <br /> <br />OWNER'S NAME <br /> <br /> <br />JOB~DRESS r <br /> <br />LEGAL DESCRIPT ION: LOT (S) ;1 ~ :2. BLOCK SUBDIVIS ION - <br />PARCEL ID # ;l2:21, - d- 1-{JiJ l? Q- 0 Q:'t:O- dX'dQcamN <br /> <br />WORK PROPSED: NEW CONSTRUCTION 0 ADDITION o ALTERAT ION 0 REPAIR <br /> <br />o INSTALL <br /> <br /> :r o MOVE 0 DEMOLISH <br />PROPOSED USE: SGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />I Qna.-i "'if- ~~cf.e()_J1 roo m y C6ncr~ <br />J;1. x Lj;) SQUARE FOOTAGE s- () 1- rb <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 />~UILDING <br /> <br />$ l~ (J/)(J ~ <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />i C;/,f <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <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 />SIGNATURE <br /> <br />A fi I _ _ j .4~/J/1//M"OMPANY <br />~~~TATE CERT OR REGIST # <br /> <br /> <br />************~***************************************************** <br /> <br />CZON'PRACTOR . SEST;[(:):tJ <br />() tlJ n.e;/"' <br /> <br />i57,50 <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />a'j 11ff' t.," 50 <br />~~ COMPANY (.. _ID, <br />**************************~**:::::*~:~:*~:*::~~::*~********** <br />5 -S'i:;) <br />"1..... <br /> <br />ELECTRICIAN <br /> <br />PLUMBER <br /> <br />~ ;J, /t COMPANY I') U ) t1P A/'I <br />D<I1lMd~ STATE CERT OR REGIST ! <br /> <br /> <br />****************************************************************** <br /> <br />SIGNATURE <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 />.. ~. <br /> <br />STATE CERT OR REGIST # <br />