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<br />CITY oirl' ZEPHYRHILLS PERMI'!' A.t'.t'.LI.!.L.a:J:.J.uL'I <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />iji!VS- <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />PASCO PERMIT SERVICE <br />PHONE 1-866-824-7894 <br />Toll Free <br /> <br />~o.../) Jke~r <br />_4 /Ci-ba\r/fr th/l~ <br /> <br />LEGAL DESCRIPTION: LOT (S) /JO <br />rJ. if -r)/p 02/ - (X) If 0 - (J()():J) - J cUJ d <br /> <br />JOB ADDRESS <br /> <br />3S// <br /> <br />SUBDIVISION /~ c;uJa.lal 16//lk <br />J:L/ ~JOrr <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />oALTERATION <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 />o OTHER <br /> <br />DESCRIPTION OF WORK rO()/l) <br />, <br />j1'Y.J" <br />BUILDING SIZE OJ. oJ <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />(l cI rL 11011 <br /> <br />SQUARE FOOTAGE <br /> <br />f- ~Il /YJo;(7 <br />y iJ() " <br /> <br />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. <br /> <br />PERMITS REQUESTED <br /> <br />lp BUILDING <br />'clI ELECTRICAL <br />}il PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />b13 o.](j ()tI <br />, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES 0 NO <br /> <br /> <br />BUILDER <br />SIGNATURE ~Siil~ tr-/!~ <br /> <br />OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN . ff~'t,~ COMPANY /lJ()r/~~ !'lcfl/'/~ <br /> <br />SIGNATUREetUM~L<<.~ ~/L STATE CERT OR REGIST # <br />**********************~I****************************************** <br />~ _-0 <br />PLUMBER ~ / .' ~_AIJ ~.~; '"'i COMPANY Cir;j &jr /It/M//Jy <br />SIGNATURE ()CU~ r U t Gt. ~ L 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 />