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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~B St, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 ~ /z-::;/Ol.p <br />DATE RECEIVED <br />PASCO p~RHtr SERVICE <br />PHONE CONTACT FOR PERMITTING t-og(Q(g-S;l.z.t-7S9tf <br /> <br />OWNER'S NAME <br /> <br />Bod <br />3 tj r:llf <br /> <br />~f~11/ ~ <br />7 (){(/)/ll aj//le ()t/ ,~e <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT (S) ~f:r BLOCK <br />PARCEL ID # .JY-,) if, -rJ-/ - dart) -OCfJXJ - ~/j() <br /> <br />SUBDIVISION 7ft E~a// r1J.lAk <br />,(!f ?d.~ p~ -1/1 <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />D SIGN <br /> <br />DADDITION <br />D MOVE <br /> <br />DALTERATION <br /> <br />DREPAIR <br /> <br />D INSTALL <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE:~SGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ) ~ /Jet..;' q -5Cree..Vt.- rOo ~ <br />j.J I X liJ I ~dtj i <br />BUILDING SIZE ~ 7~ SQUARE FOOTAGE j <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 />j <br />oV <br />~ <br /> <br />PERMITS REQUESTED <br /> <br />bf.. BUILDING <br />rf-ELECTRICAL <br /> <br />$ <br /> <br />tM 1))"0. lY <br />, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />l:A 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 />r <br /> <br />SIGNATURE <br /> <br />~-J~ ~.~ <br /> <br />~~;R.{,S~C'l1,t01.i <br />... '-," ~ ',',' I,,' .' : _. : .., -" ,'I, ',,' ",". . '. -;,. '. .".. " . .... , ,,", <br /> <br />'217 I f = COMPANY ~/1f /)[9 l.r <br />[1g.t;PL -- A,q-t J STATE CERT OR REGIST # <br /> <br />. <br /> <br />r2tJtlIi-l14 AIJ(I'U/J/I/Y <br />./ <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />- /11, ,1 Ar - (5()h lif/L!J ;) <br />ELECTRICIAN 76".,..,.j COMPANY (/t.{.. ~ ..J <br />SIGNATURE ~ STATE CERT OR REGIST # <br />****************************************************************** <br />, .~ ,j' <br />PLUMBER l.d/ ,'"") COMPANY Ott)U r l;J IJ 8.//'/./( iJ <br />SIGNATURE ~ ... ~ ~- STATE CERT OR REGIST # <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 />