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<br />-;.\ <br />\?~/ <br />~"I; <br /> <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 <br />PASCO p~RMlr S~If'CE <br />PHONE CONTACT FOR PERMITTING 1-'lSIO(q-8?Lf-7SQ&j <br /> <br />III <g)Dv <br /> <br />II? t1.f'.Jt~ <br />/j e 1''1 / [ti-k <br /> <br />. <br /> <br />LEGAL DESCRIPTION: LOT (S) '71 <br />.,) Y -eJI& .-J-l- OO~rJ - OOdo()- D 79 rJ <br /> <br />OWNER'S NAME <br /> <br />Freel <br />JJ/i <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION7k. E/lU'tl/l /JJfj/! <br />/l-Y RMdr ' -/ <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o BEPAIR <br /> <br />o INSTALL <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 r()olYl. ttrl "-.I/(j A <br />-I \!CohU ..[.Lrd.) , <br />BUILDING SIZE ~ 'l-2k W SQUARE FOOTAGE <br />1'1 )L .27. (5' <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 />\j'{!4..D.:/1 nxJ,II..-. <br />) /)of /J <br /> <br />\~<< <br /> <br />LfbLptl rf <br /> <br />, <br /> <br />HEIGHT <br /> <br />IJOG.- <br /> <br />PERMITS REQUESTED <br /> <br />'Ii BUILDING <br />~ ELECTRICAL <br /> <br />$ <br /> <br />L/ Y. 000. iP <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 />.~PLUMBING <br />'MECHANICAL $ <br />o GAS 0 ROOFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 />~~ C/,-. <br /> <br />F!(l~~€i.gj(j:RJsEC'DJ:olif <br />j7S \... ~'-' COMPANY ~{{..Il <br />L~ l.f.t....t;l-.f- STATE CERT OR REGIST # <br /> <br /> <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~.r;:j~ {I (L <br /> <br />tl&VA/- <br /> <br />Lj): OU COMPANY /no r/I ^- .?If' ~ I JIll <br />STATE CERT OR REGIST # <br /> <br />~~ <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />4c~( <br /> <br />(!/L~ <br /> <br />40.DD <br /> <br />COMPANY <br /> <br />/2o~ <br /> <br />/2m/Rr <br /> <br />r{) <br /> <br />PLUMBER <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />**************************************************;******** <br /> <br />q" 1, t () COMPANY /J a Iljl ',f <br />~I /. ' <br />"' Y--~ t. 1..-. <br /> <br />tll)--1l~ <br /> <br />STATE CERT OR REGIST # <br /> <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />/{)t u~ Yl:fl~ <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />