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<br />CiTY OF ZEPHYRHiLLS PEmaT APPLiCATiON <br />BUILDING DEPAR'DmNT 5335 8ft St, zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED '1/2.~/Q 'I <br />PASCO PERMtr SERlff< <br />CONTACT FOR PERMI'l'TING r - cglCCc - g}..l.{- - 7 g q tj <br /> <br />PHONE <br /> <br />OWNER'S NAME A llC.~ S eLe.. to s <br />JOB ADDRESS c ~ 74 I 5 T ea.ber r 'j Loo p <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION We~ewa:xd. <br />PARCEL ID * 'O-~c,-D1.I- OI.;l.O-()(;)(;)(X)-Ol70 (OBTAIN FROM PROPERTY TAX NOTICE\ <br />WORK PROPSED: ~W CONSTRUCTION jJ( ADDITION OALTERATION 0 REPAIR 0 INSTALL <br />o SIGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE: 9'GL FAMILY DWELLING OMirLTI-FAMILY 0* OF UNITS <br />o COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL <br /> <br />BLOCK <br /> <br />o MOBILE H<MI <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK Sc..re",Y'\ RQ)rvj ~ rDn~e.te 6la..b <br />U:r ' f " .J,., <br />BUILDING SIZE --1.J X q -(n SQUARE FOOTAGE ~ <br /> <br />HEIGHT S{!"e l.:Jiet.4t;,. <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 />(l( BUILDING <br />o ELECTRICAL <br /> <br />$ .J-/ ~ O{) . ()O <br /> <br />PERMJ:TS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br />FORl-JS . <br />)/ - ~ <br />~ 2, ~ '-.) 1-J-i)6. <br />1,4-1- /l1+J)~~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />OGAS <br /> <br />o ROOFING 0 SPECIALTY <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 />BUILDER <br /> <br />SIGNATURE ~ ~W~I b- <br /> <br />~~~~-'~{~g~~~ ;/ <br /> <br />, <br /> <br />COMPANY.AlLunI'hLA.m. Re~ldet'\tt~( Wor~ <br />Ric.htlr-e;\ S~i+1-- <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 />PIamER <br /> <br />COMPANY <br /> <br />SIGNATURE <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 />