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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 />11_ /S-"C7V <br /> <br />PHONE CONTACT FOR <br /> <br />PERMITTING <br />PASCO PERMIT SERVICI <br />1'-866-824-7894 <br />Toll Flee <br /> <br />PHONE <br /> <br />OWNER'S NAME .e ~llal1(1 Lgcleek.er <br />JOB ADDRESS ~tr! /JIZ/'iclal LMe- <br /> <br />LEGAL DESCRIPTION: LOT (S) ~9 <br />~tj4 -~/- 007() - aoooo -JJl90 <br /> <br />SUBDIVISION t;~~~ )?O/~ <br />KI/ iUVT PI/ '"'5 <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />BLOCK <br /> <br />PARCEL 10 # <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />DESCRIPTION OF WORK <br />,St::.Il.Rm <br />BUILDING SIZE I-A/J'I' <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />LCLlJfLt .j SC-/'eM <br />/:1.;<10 <br />I.;J. x. .;t 2. <br /> <br />roam <br />::J Oil ;p <br />SQUARE FOOTAGE vO 7 <br /> <br />HEIGHT <br /> <br />10' <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br />/ 2-0. o~ 1~})lJ. <br />~ )" ; ou ti-L.bJ-.. <br />52., ~ 1)4i1~" <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 />ri' BUILDING <br />riELECTRICAL <br />ri PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />I!J 000. 00 <br />J <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <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 />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />c?/~1 <br /> <br /> <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />I; 0 IU- (J() tL r <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST # <br /> <br />'LECTRICIAN~L <br />/SIGNATURE STATE CERT OR REGIST # <br />********* ******************************************************** <br /> <br />COMPANY <br /> <br />h()~M#r <br /> <br />PLUMBER <br /> <br />C;?!:~~** ** *** *****~:~~~~~~:*~~~::~~~** **** <br /> <br />-----SIGNATURE <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 />