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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8m St, ZephyrhillsT FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />DATE RECEIVED ;:ll ~ I Dlo <br />PASCO p~RMlr SC:R\ <br />PERMITTING 1-.gIQ(q-8;l..L{-78Q <br /> <br />OWNER'S NAME <br /> <br />/J) I ~~ <br />J I.J Jjl' <br /> <br />/rg; i' Jli <br /> <br />m 4-/a~L '-k flt It~ <br /> <br />LOT (S) /:JJ-- <br />b-lf-~!c --~ - 00 LJO ~ (j()()()J- Jf/Jd <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION -r-I..R E/MmLi 1:n:k <br />/.2..1/ ;(./. srJ r> <br />(OBTAIN FROM PROPERTY TAX NOTIC-E) <br /> <br />LEGAL DESCRIPTION: <br /> <br />BLOCK <br /> <br />PARCEL ID #- <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />DSIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />DSWIMMING POOL <br /> <br />o MOBILE He <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />-ft/J/. \f{~/; <br />9~ if <br /> <br />VI /)!J / <br /> <br />r(}()/l) <br /> <br />011. <br /> <br />DESCRIPTION OF WORK <br />I <br />ff-/J-' <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 />NC~ <br /> <br />PERMITS REQUESTED <br /> <br />r:jBUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />t( J?JO. (J) <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 />o PLUMBING <br />o MECHANICAL <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 />~r/c.. (Ie( <br /> <br />,..._ _ ..., ',_ n '_~_., ._.___ '__ _. ._. .',.'. ,__. _.._". __ <br />~!f!()~-($EC-;D3:0N <br />. - ". ,". . -...'_....- ", -' <br /> <br />~ L )~ COMPANY ~ Lt./) <br /> <br />(!/1-I.-ti-4- <br /> <br />0/~4 ~!tll11. --LAc .~ <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST #- <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST w <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />