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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 />PHONE CONTACT <br /> <br />DATE RECEIVED ,~JIO}OV <br />PASCO PERMtr S~"ICE <br />FOR PERMITTING 1-<6W(q-gAL{-7S9LJ. <br /> <br />OWNER'S NAME !3l- f' I) fi.. r d t: .; h I ~ ,~ <br />JOB ADDRESS J.S-/~ TOt1rl'J1..i- (~j.( Ih/te. <br />LEGAL DESCRI PT ION: LOT (S) rJ. 7tj BLOCK <br />PARCEL ID # ;; lj- d-&. J-/ -- OUr () -OeJaJO -(~7</O <br />WORK PROPSED: )4NEW CONSTRUCTION <br />DSIGN <br /> <br />PHONE <br /> <br />SUBDIVISIONT4 ENI'a. II !hI t-ie <br />Kt" J:t.[orf <br />(OBTAIN FROM PROPF.RTY TAX NOTrc.El <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />D ADDITION DALTERATION D REPAIR D INSTALL <br />D MOVE D DEMOLISH <br />DMULT I - FAMIL Y D# OF UNITS D MOBILE HOME <br />D INDUSTRIAL D SWIMMING POOL D OTHER <br /> <br />DESCRIPTION OF WORK <br />BUILDING SIZE JJ't.jJ-' <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />/tJ- y J~ (a/)a~' te)/ v! Ii b <br /> <br />SQUARE FOO:AGE Jit; r <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 />rp BUILDING <br />~ELECTRICAL <br /> <br />~ PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />If OM. \fJ <br /> <br />PERMITS REQUESTED <br /> <br />vJ <br />(lD <br /> <br />::Je.H2Kf"h\ ,,~'" ~p - <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 />$ <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 />D STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />ce~emoR. . SECT,ION <br />/57.)"0 COMPANY h H/Jlj!J ~Jl~at'1 Atunl/lc/fJ1 <br /> <br />BUILDER <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************** <br /> <br />COMPANY <br /> <br />lJ1(}nJtJA- <br /> <br />~tcln~ <br /> <br />@ <br /> <br />ELECTRICIAN <br />Sl-tlc"\.- {~tI-4L- <br />SIGNATURE <br /> <br />;1-/5-, <br /> <br />.'J ~ <br /> <br />STATE CERT OR REGIST # <br /> <br />PLUMBER <br /> <br />****************************************************************** ~ <br /> <br /> <br />0~ 150 COMPANY L.4../'I'Lt /lLtq~/" j/!u/x 6i/lq <br /> <br />v .../ <br /> <br />C/2,~ <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />~:j {t~~ <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 />