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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:B13-7BO-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />, <br /> <br />DATE RECE IWD ,).13.;;; I uu; <br />PASCO PERMlI SE""RIfICE <br />PERMITTING 1-<6(qG7-8}.z.t-7g~t.j- <br /> <br />OWNER'S NAME (;-/j/1r;;[ J-6r / ztJl7,<)) Lc, <br /> <br />JOB ADDRESS 76L./S- Gr-L~11 sic D-t?_ })~) <br />/ <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # 3Lf-,;{,5"-;)j-()()q~-()OOM-IJI5 C6' <br /> <br />WORK PROPSED: ~EW CONSTRUCTION DADDITION <br /> <br />DSIGN D MOVE <br /> <br />PHONE <br /> <br />bl:JhLJih,llJ. FLi ~ 5'-// <br />I (j 1 ~. <br />SUBDIVISION {/J'ljl'tl /4 ~I Z-tn~ <br />ax 6- <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />}Q.COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNI'rS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK Club {/Seui.irfrJI1 <? 1/;lr!.,S If?CI <br />I t;x. 61-/,' I ( <br />BUILDING SIZE Ii2S I \( &OS" I SQUARE FOOTAGE tJ.(Jlj / . <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 />~. -\ ".v We I A.. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br />,,-, \f'^-) '--' .~ . 'i;-~~,,:.\-\- pk"s_ J'IO( _ <br />(',11,/ r<:>c '^'\'f-c"'es.i.,..l~-..t.~<,e,-.l "IS ':N,..o:I\ <br />) <br /> <br />[&l BUILDING <br />[Xl ELECTRICAL <br /> <br />PERMITS REQUESTED <br />$ 14.;), <goo, DO VALUATION OF TOTAL CONSTRUCTION <br />I <br /> <br />'7" ~ ~i t':W--D <br />-:p;2-0or~ <br /> <br />AMP SERVICE <br /> <br />D W.R.E.C. <br /> <br />;L I :; 3 ~ t--J:: \ ; (-', ,.--d PQ,pG0 <br />P,U\_rp-vrt{rr<: ---\: r.cd--t'l-l'.wL1 <br />(\...}0Q (~U 6 J-\-,--, ?:f:J +-t'v~-<...L <br />VALUATION OF MECHANCIAL INSTALLATION 1)\ IV; '::) P: ~ <br /> <br />D FLORIDA POWER <br /> <br />D PLUMBING <br />~ MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />BUILDER <br /> <br />.......~.._.,_..__. ._..___.._.... ..._...~..'__"."h..'.. ......,' ... .._....._. <br />~~~~~~y,$.g'J!,J:()~ <br />COMPANY 'f3J7I-/l{2 's <br /> <br />I <br />HLUf1/fI"uU/f/l. INC. <br />.@ <br /> <br />SIGNATURE <br /> <br />~~t~ t~ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />~/-tl ~L~ <br /> <br />tliH/Al- <br /> <br />COMPANY <br /> <br />mtlrit~ <br /> <br />Etd~L~ <br /> <br />@ <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />~s <br /> <br />COMPANY '(J /,-Jrr;Y- ~~.b ~--I-A(! <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />********************************************~**~****************** / <br />COMPANY n Cl.II-.n 'J /ro/)fi.~ (YL'.( <br />/ <br />~ 4.-t-:'" <br /> <br />t~ <br /> <br />STATE CERT OR REGIST # <br /> <br />lAC <br />~ <br /> <br />MECHANICAL <br /> <br />*******************************************************.k********* <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />