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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 lVED <br /> <br />cJ -:29 .-iJS- <br /> <br />PHONE CONTACT FOR <br /> <br />PERMITTING <br />PASCO PERMIT SERVICE <br />PHONE 1-866-824-7894 <br />Toll Free <br /> <br />OWNER'S NAME <br /> <br />!3~ 1/-4 70 !ijN Of) <br />J <br />J 7 If(JlI (J If! R ells <br /> <br />/11/1/ ~a <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION ~/jI~r t1~~ t;/~~q~ <br />/IJ- / .r <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PARCEL ID # <br /> <br />5'1 <br />rJ J -rY-~ -J-I- ()d.-f)() - OO()(X)- O,)'ltJ <br /> <br />BLOCK <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />bSIGN <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 />D OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />0" f!A.UJ) <br /> <br />/100//1 <br /> <br />BUILDING SIZE <br /> <br />1& x/I/; <br /> <br />SQUARE FOOTAGE <br /> <br />e2 f;& 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 <br />FORMS. <br />c.....-'" v'~ <br />,ru, <br /> <br />2; sb <br /> <br />FORMS. <br /> <br />(!,LJ) G. <br />{liJ jJo,.J <br /> <br />PERMITS REQUESTED <br /> <br />rp BUILDING <br />o ELECTRICAL <br /> <br />$ 5", )0 tj. 0 () <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy D <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />o ROOFING <br /> <br />D SPECIALTY <br /> <br />o OT HER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />I S PROJECT IN FLOOD ZONE AREA 0 YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />A (L;lr.s 4lUj)( fIJi//)( :v C . <br /> <br />SIGNATURE <br /> <br />sJl{ r!~~ ~/l' <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 />*******************************************************k********** <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 />