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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8" St, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED d- /ciS}O(.p <br />PASCO p~RM(r SIS'R"'CE <br />PHONE CONTACT FOR PERMITTING 1-~(QG7-g).L{-7gqtf <br /> <br />OWNER'S NAME /l/iPh9- Fv~ (J1C-k; ~Sl C <br /> <br />JOB ADDRESS c3S- 3R M?r lYlalr f7 -e VI'I V' ~ <br /> <br />LEGAL DESCRIPTION: LOT (S) .2t5 BLOCK SUBDIVISION ,/::J?z;:ya!:1 #; nI; f(y <br />dL1 - c;z / - ,;)/-' () /'i 70 ':"'t?/)/,/.YT - d b~TAIN' <br />2: ~ (/ __ (/~ ~____ FROM PROPERTY TAX NOTICE) <br /> <br /> <br />PARCEL ID # <br />WORK PROPSED: ~NEW CONSTRUCTION <br />DSIGN <br /> <br />D ADDITION <br />D MOVE <br /> <br />DALTERAT I ON <br />D DEMOLISH <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />DCOMMERCIAL <br /> <br />DMULTI - FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />;I!fOTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />)up IV cV- ~<J C(/!tJ4'] /6 Q /Yl <br /> <br />BUILDING SIZE / 1/:2 fb . SQUARE FOOTAGE c5? ff ~p <br />/6 1':2 ) ;;2,{..?d <br />RESIDENTIAL: AT CH (~ 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 />Zb'-\ Y. 2>- ~'> s't iT: <br /> <br />REQUESTED <br /> <br /> <br />HEIGHT <br /> <br />.. -If <br />~433 <br /> <br />)d' BUILDING <br />J1 ELECTRICAL <br /> <br />'0 I\)\) Y 'f)L0 fif\~--.J. <br />PERMITS <br />$ :J()06 ~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />D PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />BUILDER /05:.....:/0 <br /> <br />SIGNATURE ~oI~ <br /> <br />eoNmiAemoR SECTiI:Oli <br />COMPANY a,u.ner <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />45 -;;,""J <br />ELECTRICIAN, / . /:.. ~J _ Il COMPANY () /1./ II ~/\ <br /> <br />SIGNATURE ~~)<I{):JlI~~ STATE CERT OR REGIST # <br />- / , <br /> <br />~~? 1***;01;*******J******~**;**~*~****~**~~~;-rL~;~~*: - *** . <br />~~6 COMPANY~ -:::.~ <br />/l ~~ '\ -;>'(~ <br />'- SIGNAT {- / STATE CERT OR REGIST # <br /> <br />*********************** ***************************************** <br /> <br /> <br />MECHANICAL COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REG 1ST # <br />