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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 99 St, Zephyrhills, FL 33542 <br />913-790-0020 FAX: 913-790-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />DATE RECEIVED 3-1'D/O(~ <br />PASCO p~RM(r SE:R.lfICE <br />PERMITTING 1-'6(q(r'B^l.{~ 7gQt.l <br /> <br />8~rl7aj'd E-tli.tr <br /><3LjJS f~ /'(l( <br />v <br /> <br />LEGAL DESCRIPTION: LOT (S) r) 9'/ BLOCK <br />PARCEL ID # ,;).11 - d-& -01-/-, ()d!rJ-()UOJJ - ~ 7y() <br /> <br />OWNER'S NAME <br /> <br />PHONE <br /> <br />aui"l <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION :rk !;/Nr&(/IO/ltk <br />RJ/ RNN'f <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION D ADDITION DALTERATION D REPAIR D INSTALL <br /> DSIGN D MOVE D DEMOLISH <br />PROPOSED USE: D SGL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS D MOBILE HOME <br /> DCOMMERCIAL D INDUSTRIAL D SWIMMING POOL D OTHER <br /> <br />DESCRIPTION OF WORK <br />BUILDING SIZE / oJ.- /'1 J,)..-I <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />(4- /Ll(~ / u(a6 <br /> <br />SQUARE FOOTA;E Jt?tJ I <br /> <br />/:) 'I 0tY <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 />~BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />/7. OX). 6J <br /> <br />PERMITS REQUESTED <br /> <br />J <br />(P C- <br />~~~ <br />~ <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 />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <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 /> <br />eeNmBAGroa SECT:EOl{ <br />/72, )' ~ COMPANY h1-fIk-S U (lll ({ <br /> <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************* <br /> <br />SIGNATURE <br /> <br />, / . fA .. 1). ~-~ <br />~ >L!LbL..- L./~ <br /> <br />COMPANY <br /> <br />l/7or.J.o/1 <br /> <br />E&tc/ru <br /> <br />@ <br /> <br />ELECTRICIAN <br /> <br />STATE CERT OR REGIST # <br /> <br />PLUMBER <br /> <br />* * * * * * * * * * * * * * * * * * ** * * * *{" *Cj*, JYN;* *** * * * ** ** * * * * * * * * *: * * * * * * ** ** ** * * ~. <br /> <br /> <br />(" / . COMPANY LtLrru /~(!/' Pl.AJ~__~/"II~ <br />~~ ~ STATE CERT OR REGIST # ~ <br /> <br />SIGNATURE <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 />STATECERT OR REGIST # <br />