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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 />31 of;" <br /> <br />I <br /> <br />OWNER'S NAME <br /> <br />J ~ rr J <br />J 7(PJ 7 <br /> <br />C L /A-{ <br />L trl'e I7.CZ <br /> <br />Ate <br /> <br />PHONE CONTACT FOR PERMITTING <br />PASCO PERMIT &L .lICE <br />PHONE 1-866-824-7894 <br />Toll t- ree <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) 1/1 BLOCK <br />PARCEL ID # Jr.;-c2S--b)I- 009J-auv-//iiJ <br /> <br />SUBDIVISION t~/(lI(c1 f-/or/ztl/J.,J <br />fJ/J-I <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: D NEW CONSTRUCTION <br /> <br />DADDITION <br /> <br />~ALTERATION <br />D DEMOLISH <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />DSIGN <br />PROPOSED USE: ~'SGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMOVE <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />DOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />C AaA. e StYLeC/l <br /> <br />4\rJ <br /> <br /> <br />/Y\.. <br /> <br />~ <br />020tf <br /> <br />rOd;t7 <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. / <br />171 '-)-~ f?LV~' <br />-? ),-- ",::> <br />? 'j) l~L <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 />XJ BUILDING <br />~ ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />{,r o&rr.fjo <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D Progress Energy D <br /> <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />l3a.Ar J <br /> <br />4ja/li/Jl//X Be. <br /> <br />SIGNATURE <br /> <br />~ek- R.1-iL <br />1/ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE ~O~ lh~......o <br /> <br />COMPANY <br /> <br />~.e..e.sP <br /> <br />lZl-R L t u :.. __ \ <br />I Lf ", a., <br /> <br />- <br />...L V\. c. . <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 />