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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 <br /> <br />DATE RECEIVED .:$). IIO/DIn <br />PASCO PERMtr S~R"'CE <br />PHONE CONTACT FOR PERMITTING 1-1S{q{c-g}.l.f-78<iL/ <br /> <br />~~ IJa.J I j S (if 'a. h & find t Ie. PHONE / -~ -Cj(:2<!-7/j9c; <br />JOB ADDRESS Skoy /i'" .sIMft I zrhrrk /Is{ h 33S-1.z, <br />LEGAL DESCRIPTION: LOT(S) If 119 BLOCK //t1-., SUBDIVISION l14 tV' ?~Jjri;lk <br />PARCEL ID # II - d.t - 0010 - II dM -()/<;i;O <br /> <br />OWNER'S NAME <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />Os IGN <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION DALTERATION o REPAIR o INSTALL <br />o MOVE D DEMOLISH <br />DMULT I - FAMIL Y 0# OF UNITS o MOBILE HOME <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />.R..~c/o..r:.e D RESTAURANT & HEALTH DEPARTMENT <br />DESCRIPTION OF WORK ..f'l-/J11n9 ('({rporl - i2A.C9/J()J.cd <br /> <br />I I 'J . , <br /> <br />BUILDING SIZE 10 'I.. J. ~ SQUARE FOOTAGE ~~d <br /> <br />APPROVAL <br />/(J(yll {1[/o{/;(}/J <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />tJOG J <br /> <br /> PERMITS REQUESTED <br />m-BUILDING $ II, ,)()O.Ji VALUATION OF TOTAL CONSTRUCTION <br />f(a ELECTRICAL AMP SERVICE D FLORIDA POWER 0 W.R.E.C. <br />o 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 AREAD YES D NO <br /> <br />'- --fjr[c~ <br /> <br /> <br />CTIO~ <br />-S a./J <br />PANY <br /> <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />STATE CERT OR REGIST # <br /> <br /> <br />}.'.z <br />, / <br />y <br /> <br />**************************************************************** <br /> <br />SIGNATURE <br /> <br />~j~ c--.,)JL -/4r,{ f <br />u <br /> <br />COMPANY j)'}Ot!m HfC l/1i? <br /> <br />ELECTRICIAN <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 />