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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 <br /> <br />DATE RECE IVED <br /> <br />foil/or <br /> <br />PHONE CONTACT FOR <br /> <br />PERMITTING <br />PASCO PERMIT SERVICE <br />1-866-824-7894 <br />Toll Flee <br /> <br />PHONE <br /> <br />OWNER'S NAMErpa.le.... <br />JOB ADDRESS Ct; 35 ~ <br /> <br />f(pm in 5:ton.- <br />HUY\~to~ Dr. <br /> <br />SUBDIVISION -.5.L1 ve.r ~ s <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # 03-~.(r~r-OI,^O-OOOOO-OCf.70 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o SIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />~ADDITION <br />o MOVE <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br />lE:sWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK :::r ~l't>UY\d POl> I, 5Gr"('O~ed E:ne./ O~LU""~ ,5c..,..~t"'..,e&. L.a.n~ <br />poo L. OE:c.~.,.. g JUCt...O.s\J - ;U I "- '-f t' - - - - - -- q 0 ";2., tF ~ ' <br />BUILDING SIZE ~a., "8')(.;;lS")(Ic.'X-fL.' SQUARE FOOTAGE .LfSf", t;J;1 HEIGHT ~ <6. <br />w6lM.. ~ <br />& (1) SET ENERGY FORMS. <br />FORMS. _ <:)0 J~L))b. <br />/7::, f <br /> <br />'"?_.:::>c <br />-?s. <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 />PERMITS REQUESTED <br /> <br />- ...::t':,j <br />"3~ . <br /> <br />tiJ.S.l' <br />'x.. ~~. <br />) <br /> <br />~ BUILDING <br />~ ELECTRICAL <br />~ PLUMBING <br />o MECHANICAL <br /> <br />$~(OOO.OO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~ Progress Energy 0 <br /> <br />W.R.E. . <br /> <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY :fiB PbO L Co 10TR ALl (,."y, <br /> <br />BUILDER <br /> <br />~ <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br /> <br />************************************************************** <br /> <br />ELECTRICIAN _ COMPANY <br />~- <br />SIG~*************************:~~~:*~::~*~:*::~~:~*~**~*~~~l\iC\ <br /> <br />PLUMBER <br /> <br />/~ ~a.A:_ <br /> <br /> <br />****************************************************************** <br /> <br />COMPANY ::TT B POOL- CoI0TRlKr"JC:. <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br />~,~. <br />***************************************************************** <br /> <br />~ ~ e-ndt>s~r(! <br />OTHER ;77~- -Y3 + ~aV <br />SIGNATURE ~ <br />- <br /> <br />SIGNATURE <br /> <br />COM PAN <br /> <br />r <br /> <br /> <br />STATE CERT OR REGIST # <br />