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<br />CITY OF ZEPHYRHILLS PERMIT APPLICA~r .lU~ <br />PASCO, PERMIT SER" ,lil.:J.U.!D. ING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />Vi~~ 813-780-0020 FAX: 813-780-0021 <br />1-866-824-7894 DATl<~ RECE IVED <br />Toll Free <br /> <br />g/6~5 <br /> <br />, . <br /> <br />PHONE CONTACT FOR <br /> <br />PERMrrTING <br />>5:14. t,(e - As e ILl <br />PHONE (Y J--!) 997- III 'f <br /> <br />OWNER'S NAME <br /> <br />m{>~J'ft~ cJa-tr itS {)rl-- LL {'II ;::! u.her6 <br />,3ilj7 La (J fe /. j/ 4..//1.:; (JIll J . <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT (S) 35 <br />rJ. Ij- J./p -cl/ - () OJ () -0 O()j:) - 03S0 <br /> <br />BLOCK <br /> <br />SUBDIVISION /?7a/fult~ <br /> <br />v <br /> <br />{/t1/&' <br /> <br />PARCEL 10 # <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: <br /> <br />~EW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br /> <br />~ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />I <br />Ii} 'I tj J <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />C {i/Lp-orl u 6z.,fL/l ,roO/K. + mOm (;..c/ It./;d/J <br />I ) SQUARE FOOTAGE ,)' J' ,f' tj <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <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. <br /> <br /> PERMITS REQUESTED <br />JJ BUILDING $ rJ-7. ,),S). ad VALUATION OF TOTAL CONSTRUCTION <br />t{1 ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />~ 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 />~ FRAME <br /> <br />o STEEL <br /> <br />~THER a-{ u...ltlt\ I nu.~",,-, <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />'--s~~ ~/{ <br />{;J <br /> <br />STATE CERT OR REGIST # <br /> <br />*****************************~*********************************** <br />~... <br />r <br /> <br />ELECTRICI~ '0; - <br />SIGNATURE .., ~~ ~~ <br /> <br />COMPANY ~ ranc.1Cz!( Et ec fn"L. <br /> <br />STATE CERT OR REGIST # <br /> <br />******************************~***********************;,*********** <br />,... <br /> <br />MECHANICAL <br /> <br />fl ~. <br />SIGNATURE Y/'--{7-x..l.-t.~---e....-~-.:cL <br />. / <br /> <br />*~****************************~~~**********************~,*********** <br /> <br />) .'7,/;. COMPANY 8a.hr'< 0d S 01- R/{? <br /><':./7 ;::::. STATE CERT OR REGIST # . <br /> <br />COMPANY ehrl.5 8ait/' PluYnb/~'3 <br />STATE CERT OR REGIST # <br /> <br />PLUMBER <br /> <br />SIGNATURE '" <br /> <br /> <br />************************************************************* <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />