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<br />I I <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICAT~~f <br />. BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />II:MIV~ <br /> <br />tI~~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />I3redtt <br />(p :3 07 <br /> <br />, <br />I <br />;ire Cu//ocu,A <br />u/(wr O/kJ" Pt/Ji <br />Ir). <br />oS cUc-oL - Old A -tJOOdJ <br /> <br />PARCEL 10 # <br /> <br /> <br />PASCO PERMIT SERViCE <br />PHON~ ' 1 866 824-7894 <br />Toll Free <br /> <br />SUBDIVISION ,Sj/tll/", t1a/'.J' fJIJ-/ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ~EW CONSTRUCT~ON <br />DSIGN <br />PROPOSED USE: ~SGL FAMILY <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />i <br /> <br />DwiLLING <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 ~E~TAURANT & <br /> <br />DESCRIPTION OF WORK / flqlroclI._cI <br /> <br />BUILDING SIZE .30 f3~~e~ <br />I <br />i <br /> <br />HEALTH DEPARTMENT APPROVAL <br />Me) / f Y ft.-~ h..Jtt~~ <br /> <br />, <br /> <br />r; (PO f <br /> <br />HEIGHT <br /> <br />SQUARE FOOTAGE <br /> <br />RESIDENTIAL: ATTACH (2) PLOTiPLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETSiOF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS <br />PROPERTY SURVEylREQUIRED FOR ALL NEW <br /> <br />~ BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />tfOJ 000.100 <br /> <br />VALUATION OF <br /> <br /> <br />ENERGY FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />i AMP SERVICE 0 <br /> <br />Progress Energy <br /> <br />o <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALT~ <br />I <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK I <br />I <br />FINISHED FLOOR ELEVATIONS I <br />! <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />7TIJ <br /> <br />/()()/ 6YAlrocllllf <br />J <br /> <br />SIGNATURE <br /> <br />~ ./ a..- Ct\.-- <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />* * * * * * * * * * * * * * * * *1* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br /> <br />ELECTRICIAN I ~ ".) COMPANY ThJ!} J./fiuJ k-;I1J <br />SIGNATURE ~tlJ....ca- ~/L~ '''2}5. 0) STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~-4~' <br /> <br /> <br />?)"~~MPANY j"lB p~ I~~~ <br /> <br />STATE CERT OR REGIST # <br /> <br />PLm1BER <br /> <br />***************** ************************************************ <br /> <br />MECHANICAL COMPANY <br /> <br />)j;J~ <br />rpf OTHER <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br />