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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 ./ J <br />DATE RECEIVED --U 1,_0(17 <br />PASCO PERMlT SISRIfICE <br />PHONE CONTACT FOR PERMITTING 1-'lSG;.(Q-g}.l.{-7g91f <br /> <br />OWNER'S NAME <br /> <br />. <br /> <br />!() / / /1 ~ m (j //Z2l1/yl <br />(3,') rJ 7 al aiJ{[J /~r {)l jte <br /> <br />LEGAL DESCRIPTION: LOT (S) /17 <br />rJY. J-It: - J (- oJ 1() - rJoaJo -1/90 <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />BLOCK <br /> <br /> <br />PARCEL ID # <br /> <br />... <br /> <br />WORK PROPSED: <br /> <br /> <br />NEW CONSTRUCTION <br /> <br />o ADDITION <br />o MOVE <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED <br /> <br />DSIGN <br /> <br />USE :~GL FAMILY <br />o COMMERCIAL <br /> <br />DWELLING <br /> <br />DMULTI-FAMILY <br />o INDUS TRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH DEPARTMEfT APPROVAL <br />)'" rJrJ/Yl cd ~~;n J S'~ cI, jo~11 J {' dl<(7 r - y ~sI J{a.j <br /> <br />/ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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. <br /> <br />rJD c.. <br />€1tL/-. s.;-- _ <br /> <br />~ BUILDING <br />~ ELECTRICAL <br /> <br />(J) <br />$ Ii'. 7 fIR ' <br /> <br />PERMITS REQUESTED <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: 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 />.. ..... - ,_." .. --- .-.- .~.. .". . - .... . - --. ... _. , ,..... ...... - .' '." <br />€ONmRAGlmGR.'SECT,I0N <br />~ "..,..". ; '. .' "',' '_ . .~"'-','-'. ,,' '.. '0 " '",...., ," ," <br /> <br />I ~7. 50 Sll'1 <br />COMPANY" <br />"--J~ / {( ~'---. tJ,-1 t <br /> <br /> <br /> <br />BUILDER <br /> <br />STATE CERT OR REG 1ST # <br /> <br />****************************************************************** ~~~O l~( <br /> <br /> <br />ELECTRICIAN . COMPANY /I) IJ r/.-{71) !; ((f jrti p,...)/r... <br />~~; Ifli,- YJ,,!{ ~ Af~ DO <br />SIGNATURE ~ STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />5: L.. B rtftl1 ~r-J <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 />