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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 RECEIVED <br /> <br />(ol!: lbl( <br /> <br />OWNER'S NAM~rl'end L~__IctJ(.t I Inc., /I,.Tack. Parks <br />JOB ADDRESS S4d.S Gcdl Blvd. <br /> <br />PHONE CONTACT FOR PERMITTING <br />PASCO PERMIT SERVICE <br />PHONE 1-866-824-7894 <br />Toll Free <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />WALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />PROPOSED USE: 0 SGL FAMILY DWELLING <br />III COMME RC IAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />tI, I~e (\'10 pe,'€' non - ~ rtAct IA,(l..{ l/J(\..U <br />WCLf-C"Ir"" e(:;..ter) re r>lii,. roof D\/("r"CDrYlyYItli'lan:.('......' <br />SQUARE FOOTAGE HEIGHT <br /> <br />DESCRIPTION OF WORK <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 />KU')l i --('0 <br />~'Y) 'z.-v" J ~ <br /> <br />PERMITS REQUESTED <br /> <br />b7. s~ (5Lf>C. <br /> <br />VALUATION OF TOTAL CONSTRUCTION ij f1~ h1.~ -. " <br />rY ~':S~ ~. 12-4...(. . <br />o Progress Energy 0 W. R. E. C. <br /> <br />~ BUILDING <br />o ELECTRICAL <br />~ PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />;<c;? 00, Ot7 <br /> <br />AMP SERVICE <br /> <br />3 -g,:;~ (LH'\6 <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />~r/u-{}~ }-!!v- <br /> <br />COMPANY Ear I wood (~nstru.c:J,olL <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br /># ELECTRICIAN ~ ~ <br />SIGNATURE ~ <br /> <br />tv/IJ <br /> <br />COMPANY <br />b~ <br />Y STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br /> <br />COMPANY Jorda..n E I ectru:~.. + Pl /.(W\.lol~J- <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 # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />