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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 '1- 3l-01o <br />DATE RECEIVED <br />PASCO P~RMll Sf:RlfICE <br />PHONE CONTACT FOR PERMITTING 1-'6(q(a-S).z.t-7S9'f <br /> <br />('OOIl.S <br />C oq Hi/ / <br />./ <br />LEGAL DESCRIPTION: LOT (S) / (PI' <br /> <br />~'I"- ~(p -0).(- OOO(}-()OjO()-~ (OBTAIN <br />'tJ, 3'15i ~ '0(1. 'Q&A '"1 r31\Jd. 11#50 <br />WORK PROPSED: ,PI.NEW CONSTRUCTION 0 ADDITION o ALTERAT ION <br /> <br />DSIGN 0 MOVE 0 DEMOLISH <br /> <br />PROPOSED USE:J2iSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS <br /> <br />o COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL <br /> <br />OWNER'S N.AME <br /> <br />ToaJ) <br />J 9 7 tjf <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />L(X}p <br /> <br />, <br /> <br />SUBDIVISION /l}fi/Mjk O~/LU ;t~ <br />(/ A <br />FROM PROPERTY TAX NOTICE\ <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK ~e I'-ee. n <br />,I I <br />1M '/ elf <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />-Ilj'kcl <br />SJf;? <br /> <br />room <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />tJOL- / <br /> <br />/() 763.0v <br />/ <br /> <br />PERMITS REQUESTED <br /> <br />lj( BUILDING <br />11 ELECTRICAL <br /> <br />'r;i PLUMBING <br />o MECHANICAL <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 />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 />SIGNATURE <br /> <br />~/~~ <br /> <br />....:.._ '._','._4_ '_.'___".""_' '"_ ._.._.' 0........_. ,_ ......." _". ._ on. .... <br />e(\)~I.!0I((.SECT\~0bl <br />1__-. ';. "'.-:' ; _.," . ":.: ': '. '.~"': ,'"i. '_,' ,,-.", . ,'. ';".. _ .' C':' _ . '.. ,." .' .. .' "', ," <br /> <br />Il-/I)"O COMPANY '-S"I//) <br />U~ <br /> <br />~~Ie <br /> <br />A~;/J//M. ~ <br />/ <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />********************************************************"k********* <br /> <br />,"5 ".$~ )V})tJr>4/J {; ~ (!/~ <br />~'j~{! ~ C~ COMPANY - --- <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />" i c;:.,~ <br />.~ '?J <br />~'-( fLC!A- C~ . <br />!!olo - H()J, <br /> <br />COMPANY <br /> <br />J&1b - <br /> <br />~o~r-' <br /> <br />PLllMBER <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 />