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<br />, , <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 STH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:S13-780-0021 <br /> <br />DATE RECEIVED d -17- 0(0 <br />PASCO p~R'Mtr .s~IfICE <br />PHONE CONTACT FOR PERMITTING 1-'BiOlD-S),Lf:-7g91.f <br /> <br />OWNER'S NAME <br /> <br /> <br />Lv t /s3, <br /> <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />[] SIGN <br />PROPOSED USE: DSGL F.AMILY DWELLING <br />[] COMMERCIAL <br /> <br />~ADDITION ~TERATION o REPAIR o INSTALL <br />o MOVE 0 DEMOLISH <br />[]MULT I - F.AMI L Y []# OF UNITS o MOBILE HOME <br />o INDUSTRIAL o SWIMMING POOL .%OTHER <br /> <br />S J::J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />cr~e~- d" 'r <br />DESCRIPTION OF WORK () d t-+run 'Y (f 07 I n or store<.! e- rVVl.. <br />BUILDING SIZE <:j '/. 13, {L SQUARE FOOTAGE D5, b HEIGHT <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 />~ILDING <br />~LECTRICAL <br /> <br />$ J,J-f DO O.Q.. <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />.AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />[] PLUMBING <br />[] MECHANICAL <br /> <br />$ <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />o FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES 0 NO ' <br /> <br />.......-..."..--. ,--,---",~,~,-",-",--"---,,-,,,'-'., ..,--.' ... ---......-, <br />~$~mc>;Ry,$~CIJMtOb.l <br />BUILDER Ot.U(\e% _ " ~'1,'jDcoMPANYi<()n Ge.q~ DUJher <br /> <br />SIGNATURE (Mjlz~J!",.(;(jJM~.z;:-. STATE CERT OR REGIST # <br /> <br /> <br />****************************************************************** <br /> <br /> <br />ELECTRICIAN () /'un,';/,'/. l-'f):,:5>J COMPANY Ron &tel - o~ n .f?A-- <br />SIGNATURE tfJtl!t7A'::~'W ~Y-- STATE CERT OR REGIST # <br /> <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 />