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<br />CITY OF ZEPHYRHILLS J:'J!;.t<M~.~. ~J:"J:".u~,-,.n....."".' <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />!Jft/o s- <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />At'LnJ Kti 1/ if ~f/Yl <<-K~' <br />S~rr s iA. St~f <br /> <br />PASCO PERMIT SERVICE <br />PHONE1~A?4-7894 <br />Toll Free <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />I /-;J.-(p -cJ/- 00/0 - OcL9o()~ 0000 <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />OSIGN <br />PROPOSED USE:9QSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />~ ADDITION <br />o MOVE <br /> <br />OALTERATION <br /> <br />[J REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNI'rS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM] <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />c!oSlnq fA.. .~j.l'Jf. fU/LfJPrf {-, C()[;tr~cI .roO,c t2A.RtL <br />v 'lor tL ~L~~sheol. <br />BUILDING SIZE SQUARE FOOTAGE l.j3{, t} , HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. , <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. '-7 s-- ~c.:. <br /> <br />r)C0G. <br /> <br /> PERMITS REQUESTED <br />rfA. BUILDING $ if eL(JO. Q:l 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 />o GAS o ROOFING o SPECIALTY 0 OTHER <br /> <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />00 FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />BUILDER <br />SIGNATURE ~S'id C-l...- ~/L ' <br /> <br />COMPANY /JJood tOIl\{ Irut !/d.A <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 />***************************************************.k************* <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />