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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 />if /~/O) <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME 1:30.6 G-oe/J - f?/~o'Nf m,/I. Ptu/( ~(~/.J I PHPASCO PERMIT SERVICE <br />. II . I / f^C. of- ZR-/lLyrlJ/f 1-866-824-7894 <br />JOB ADDRESS (p/3J- 17(i.-/'rLR.-. S'/-fiU Toll Free <br /> <br />LEGAL DESCRIPTION: LOT (S) ~ BLOCK SUBDIVISION !J{M tAP[i m./l fJaAA <br /> <br />00 -.)&, -J 1- ()~/ 0 - (J(}(X)J- OJM <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: 94NEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />~. 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 />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK NI;lt:LC~ (a/pUt,f 1i))I'~S(t//'IA.. r(r;iJ)(Ciy-{ <br />R(fAir IIX~q' ,PAlld {(jur <br />BUILDING SIZE 1J~\.C) - l~ x 'A"" SQUARE FOOTAGE <br /> <br />-I CLcll tV ie' <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLA.~S & (1) SET <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERG FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. 0 <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.L1'[)\~ <br /> <br />ENERGY FORMS. <br /> <br /> PERMITS REQUESTED <br />L! BUILDING $ S I j5"o ,ex> VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />0 PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />13 (,,-ILl' <J ,41 iJJr)l/Jt j)\. .:rite <br /> <br />SIGNATURE <br /> <br />~si<<eA-- JzjL. <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 />