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<br />., <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8T11 St, Zephyrhills, FL33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED 13 - ~ -Cia <br />PASCO PERMll SE:R\ <br />PHONE CONTACT FOR PERMITTING 1-~(q(g-g~1{-7gq <br /> <br /> <br />OWNER'S NAME <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />o SIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />M MOBILE HO <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK room ~ dd.f-/-r/)(7) <5' hed -f 5c~r.el?fl.fo() rT1 <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />/ <br /> <br /> <br />~ILDING <br />~LECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />Noc- J <br />~~ <br /> <br />$ 1;)/ 7q3 L32 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />[J <br /> <br />W.R.E.C. <br /> <br />, 0 PLUMBING <br />~ECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <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 AREAO YES 0 NO <br /> <br />E S~m()I{SEC'll:rON <br />BUILDER , ~. /12.?-'C COMPANY 511 f) ~ hk !iiL! rn / n / tL/fh- <br /> <br />SIGNATURE ~~~~....~~:~~.~~~~.~~.::~:~:.:***.*.*..* <br />ELECmICIAN - 9!-'.'l''' ..35:"~0> COMPANyOtUney- 1@lwf-J#c.vEm <br />SIGNATURE ~~~~ STATE CERT OR REGIST I <br /> <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />~' '~ <br />rr:J. .J Lr './ J - .), ~ <br /> <br />~~~ ,,~ <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />****************************~************************************* ;/c <br /> <br />, 7j:'':Sv COMPANY hahr'.s PnpClI<.€- Gc;s.,. it C <br />ifcia~ ~ <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />*****************************************************,~*********** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />