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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 89 St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IWD <br />PASCO p~RMlr SE:'RIfIC~ <br />PHONE CONTACT FOR PERMITTING 1-'8(q(q-S"l.{-7S9Q <br /> <br />l( 31 <br /> <br />OWNER'S NAME :r//di~ A,6rooks <br />t;~ ~~ IJlorM/akp., 7};nv/!/) <br />LEGAL DESCRIPTION: LOT (S) '79 BLOCK <br />PARCEL ID # ;)3.- ;2h-:2.I-()/dJJ-()tJ{)ttJ-tJ 790 <br /> <br />WORK PROPSED: ~W CONSTRUCTION o ADDITION <br /> <br />PHONE <br /> <br />lPt~jj~ R- J3sz1~ <br /> <br />SUB IVISION 51 /Vev Oak!; <br /> <br />JOB ADDRESS <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br />PROPOSED USE:~FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />BUILDING SIZE <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPfOVAL <br />Scr-ee V1 IVtJ rvl + CtJAf . ,S[/ab <br /> <br />SQUARE FOOTAGE c1;;J. </- 1:' <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />Itf X /~ <br />, <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 />Noe.... /' <br /> <br />PERMITS REQUESTED <br /> <br />~ILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />Jf38'5 ~.E. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <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 />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />d <br />k.t""" <br />/~~r <br />sf6~ <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 />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br />SIGNATURE <br /> <br />.,-.-- '.-'."--' '-_.._-_...-.~.-. ."- .".-,." --.........-." ..~.. ,.- ,... -.." <br />eo~mRXS~C'JM[01l1 <br />1 '_ -. .:. ' '. ,'. ; _.,: . ":.: '; '. ~,"': ...,. ',.' ,:.", . ,': -,,, . . - ,"' - '. . . .." . . '". <br /> <br /><1.z, )'\:) ~ . L .5 <br />o COMPANY ~r' <br />,~~ STATE CERT OR REGIST * -;:?Y'(;;h <br />*********~**************** *************************************** <br /> <br /> <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />Z I L'" r1:.:fr()CJ:{ CS1f5COMPANY <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 />