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<br />. .. <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8" St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED \ - S-O~ <br />PASCO p~RMlr S~RIfICE <br />PHONE CONTACT FOR PERMITTING 1-'6/Q(rg?,L{-7SQa.J <br /> <br />OWNER'S NAME <br /> <br />6'/Jl{nd/C <br />- <br /> <br />4tul-A,Jt tu~ <br />LEGAL DESCRIPTION: LOT(S) ~ BLOCK <br />PARCEL 10 # ~1./-~{,-02.'-DOdo-6oooo~0c7ao <br /> <br />o 1ti.1J/Je <br />.3,r,Jf <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION -r~ r;- J')J.rl.t/ PO~ <br />1lJt' h<J:Yf <br />(ORTAIN FROM PROPF.RTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL <br /> OS IGN o MOVE 0 DEMOLISH <br />PROPOSED USE: ~GL FAMILY DWELLING DMULT I - FAMIL Y 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />BUILDING SIZE <br /> <br />CJ RESTAURANT & <br />a- rI /. ~ /;4.-.JI... <br />, <br />f ~ ItJ ' <br /> <br />HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />+tJ <br /> <br />.tXI:SI/J/9 <br /> <br />" <br /> <br />pee ~~A <br />yo t/ <br /> <br />HEIGHT <br /> <br />SQUARE FOOTAGE <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. }I <br />_ t-\lJYl'"\Il.G'~ ~I~ <br /> <br /> PERMITS REQUESTED <br />~ BUILDING $ ~ ~ l/~ f/. (JJ VALUATION OF TOTAL CONSTRUCTION <br />fi. ELECTRICAL AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. <br />~PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 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 AREAO YES 0 NO <br /> <br />BUIUlER ~ <br />SIGNATURE ! <br /> <br />eo~emR SECT:ION <br />COMPANY OlJlJr - /)( UAi ~~ <br /> <br />~<'V <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />OlVkr- <br />ELECTRICIAN n " D COMPANY <br /> <br />SIGNATURE J::;I./L7/h.rN [)tj i_____ STATE eERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />. <br /> <br />[) lUh <br /> <br />(J P fin ~ <br />v <br /> <br />SIGNATURE <br /> <br />COMPANY ower - iJI~A..M du:!A-~/( <br />Dl~' ~~ STATE eERT OR REGIST # <br />I **************** ************************************************* <br /> <br />PLUMBER <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 />