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<br />CITY OF ZEPHYRB:ILLS PERM:rT APPLICAT:ION <br />BUILDING DEPAR'l'MBNT 5335 8'" St, Zephyrhi11a, I!'L 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DA'l'E RECEIVED <br /> <br />J4 ~ <br />IL~~ u J1.PL ~d <br />$- /- of.? <br /> <br />PHONE CONTACT I!'OR PERMITTING <br /> <br />OWNER'S NAME Pasco County 4807 Plum st LandPHONE (727) 534-512S <br />JOB ADDRESS 4807 Plum street Trust <br /> <br />LEGAL DESCRIPTION: LOT(S} 0010 <br /> <br />BLOCK 1 h 0 0 <br /> <br />SUBDIVISION 001 0 <br /> <br />PARCEL ID # 1 4 2 G 21 00 1 0 0 ) GOO 0 0 1 0 <br /> <br />(ORT~TN FROM PROPERTY T~X NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />[] ALTERAT ION <br /> <br />[] REPAIR <br /> <br />lXINSTALL <br /> <br />OSIGN <br /> <br />[] MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />[]MULTI -FAMILY <br />[] INDUSTRIAL <br /> <br />0# OF UNITS <br />[] SWIMMING POOL <br /> <br />[] MOBILE HOME <br />[] OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF 1IOlUt 'l'A<:\r off and re roof arrrov 20 <br />BUILDING SIZE SQUARE FOOTAGE 2000 <br /> <br />sqllcres of Gl.\F 3-Tab 25yr <br />H~~T 1 Shingles <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />AMP SERVICE <br /> <br />[] Progress Energy 0 <br /> <br />/50,!-/ <br />f~ ~.,~~/ <br />~?/ <br /> <br />PERM:rTS REQUESTED <br /> <br />~UILDING <br />o ELECTRICAL <br /> <br />$ 4,040.00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />i <br />, <br />. <br />W.*,E.C_ <br /> <br />[] PLUMBING <br />[] MECHANICAL <br />[] GAS X:J ROOFING <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />121 OTHER <br /> <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br /> <br /><'ltJa~ _,. <br /> <br />;< <br /> <br />COMPANY Daryl ~chram IHdg & Roofing, inc <br />STATE CERT OR REGIST #nl~ g 21 .70,1(, <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />M&CHANICAL <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 />