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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 jJ-;ltJ --i/r <br />DATE RECEIVED iL , <br />PASCO PERMIT SERVIC't. <br />PHONE CONTACT FOR PERMITTI~~66-824-7894 <br />Toll Free <br /> <br />/h 0/"1/) jj) r;sl-tLr <br />v ' <br />AIfJe-tlJ'}J'1 CUrLy <br /> <br />LEG1\.L DESCRIPTION: LOT (S) t!J, 09 <br />rJ- If -;J (, -- r)./- Od ~ 0 - O(XXJ(J - t>L09 () <br /> <br />OWNER'S NAME <br /> <br />Jafi}N <br />(3 9 70'1 <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION E/Lf2;a1Ji Pal iJ.k <br />;ett ~/' T <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />BLOCK <br /> <br />PARCEL 10 # <br /> <br />WOREC PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION ~ REPAIR <br />o DEMOLISH <br /> <br />o INSTALL <br /> <br />DSIGN <br />PROPOSED USE: J2\SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <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 />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK R~p\a.c~ <br />VV\o+D__ PO'f"'r lc,c ~ SO' <br />BUILDING SIZECArpor"''' I d-,:)(.. I ;l.' <br /> <br />pa.Y\~ wii-h. ~+DrVV\ da.~e <br />SQUARE FOOTAGE 9<ft.J if <br /> <br />HEIGHT <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 />FORM} . <br /> <br />-!P 0;;;;' <br />9Di ~'L))6_ <br /> <br /> PERMITS REQUESTED <br />tX1 BUILDING $ S ~OO. 00 VALUATION OF TOTAL CONSTRUCTION <br />~ ~ <br />o ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />o PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />D GAS D ROOFING D SPECIALTY D OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE ~.f-tt{f~ ~/[. <br /> <br />COMPANY bA.... <br /> <br />~ Au If'tLe!/d/1 <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 />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 />