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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8ft St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECE IVED ' i - p! ~ 2)~ <br />-~ , <br />PASCO p~RM(r SE'RlfICE <br />PHONE CONTACT FOR PERMITTING 1-<6IQ{g-g?i.f-7SQa.j <br /> <br />OWNER'S NAME /Jlle -;::.L /ISLLC - "eo6el'f <br /> <br />JOB ADDRESS 3?O~ C a fd<fJ. '-.f IflMf <br /> <br />LEGAL DESCRIPTION: LOT (S) /69 <br />.) Y - rlj// -dl- 0030 - o<<J<)J - /'t/ ~ () <br /> <br />11.) kll~ r /llIJR PHONE <br /> <br />SUBDIVISION /l? ,<~evI~' tJcut..r ./ <br />(OBTAIN FROM PR~ &;.~~~~tTI~~ <br /> <br />BLOCK <br /> <br />PARCEL ID # <br />WORK PROPSED:~ CON~TKUCTION <br />o SIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />9(ADDI!ION <br />o MOVE <br /> <br />o ALTERAT ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />DMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK Cell' /)Or f I \) kcl tU / v ({ i <br />'f I <br />/.1 f. 3(0 I flt].1 ' <br />BUILDING SIZE /~ SQUARE FOOTAGE h (~ <br /> <br />HEIGHT <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 />I-JO C:.. / <br /> <br />,]> <br />f, 7Sf, <br /> <br />PERMITS REQUESTED <br /> <br />q..BUILDING <br />o ELECTRICAL <br /> <br />$ <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 />o PLUMBING <br />o MECHANICAL <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 />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />~sl ftf(~ <br /> <br />... .." - ". -.-..__ '_~' .... ..... _, 'e' ...... ". _'" . ,..... _, ,,,_, ... ...., .... ". <br />"$N~~Ri,S~C'J?,J:()li <br />/Lu. ::,F~ COMPANY Nib' <br /> <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />(/2-{!-'flAL~ <br /> <br />STATE CERT OR REGIST # <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 />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 />