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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 RECEIVED <br />PASCo p~RHlr SERVICE <br />PHONE CONTACT FOR PERMITTING 1- .g(q(a - g ~Lf - 7 g <1 L/- <br /> <br />OWNER'S NAME <br /> <br /><Skv e. <br />..3 'Iff JS <br /> <br />13 f1<.S!ti rIA- c! e <br />6J.tLfLr 12 Ih /~ <br /> <br />PHONE <br /> <br />:~ '2 S'. t/ () <br />.-' <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) /~? BLOCK <br />PARCEL ID # J '1-,).y -01/- O()/ir:J -CXl)j)~ /fRt 0 <br /> <br />SUBDIVISION E//JfraJlI1J//L~ tRj/ /tift1/' J- <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 90NEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />DALTERATION <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 />D SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />moJo/" );0/))/ <br /> <br />jOOl'l <br /> <br />, <br /> <br />-}- V I-e cI <br />/0 'IL/;p <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />PEBMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br /> <br />FORMS. No ~Oo.J - N I P-c <br /> <br />.....'.,'.. , <br /> <br />~~'4.er ~ ttf(JdIJa.1-_ <br />I#- ed Fi;:"lf.I <(), <br /> <br />~BUILDING <br />~LECTRICAL <br /> <br />~ PLUMBING <br />o MECHANICAL <br /> <br />$~C()ce- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />OGAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />r <br /> <br />BUILDER /'t~ lJ...-. J j) ./: COMPANY <br />SIGNATURE LAYf/IIP-HU<.f'~i1 STATE CERT OR REGIST # <br />****************************************************************** <br /> <br />~~M..'t(s~~':B5t~ <br />Owher <br /> <br />::=~~~~ <br /> <br />COMPANY <br /> <br />11 b JrJe;r <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************k********* <br /> <br />PLUMBER , 1_6;j / COMPANY tJJt)l?er <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 />