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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 />DATE RECEIVED ia--3C>-O'3 <br />PASCO PERMlI S~"lCE <br />PHONE CONTACT FOR PERMITTING l-gwCo-g}.L(-789t1 <br /> <br />JOB ADDRESS <br /> <br />T; C If)6i <br />LIi.6UIl.-d",-- L OOjJ <br />. <br /> <br />LEGAL DESCRIPTION: LOT(S) /7 <br />PI -~(, -eJ-/ - 0/ (;<1-(}OOO() - 0/70 <br /> <br />OWNER'S NAME <br /> <br />J~fltJ <br />J ,r 0 3() <br /> <br />PHONE <br /> <br />SUBDIVISION kN91A-Jan! lv;",1 /IJ, II. <br />- ~ ub . <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />DSIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <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 />D RESTAURANT <br />DESCRIPTION OF WORK ~ I.-t, J 6 f) <br />/r'L tr v I,') I <br />BUILDING SIZE ) (!J I'- IDL- <br /> <br />& HEALTH DEPARTMENT APPROVAL <br />.t x;,SI/17r <SL~6 <br /> <br />SQUARE FO~TAGE 1Ft 1/ <br /> <br />HEIGHT <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. ../ NOc.. _ I'll(\- <br /> <br />S'oQ.~ <br /> <br />PERMITS REQUESTED <br /> <br />l;zi BUILDING <br />o ELECTRICAL <br /> <br />$ <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 PLUMBING <br />o MECHANICAL <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: [] 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 />.Jf eGN'JfRAem0R .SECT,I()~ <br />. 52, SC COMPANY O/()^-Pr - Jaj/UV ru-f-J1IJr <br />\...../;Jri d___ ~l{ STATE CERT OR REGIST # <br /> <br />BUILDER <br /> <br />****************************************************************** <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 />