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<br />CITY OF ZEPHYRHILLS PERM~~ A~~~~~a~~u~ <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />. 813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />/0/1 7/0S <br />/ f <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />LEGAL DESCRIPTION: LOT (S) ,.2 qq <br />r:).lj- ~(,-rJ./- ()U!{)-Q\XJ)) - e:J tiFf) <br /> <br />BLOCK <br /> <br />PASCO PERMIT SEBVaCE <br />PHO}J~' 1 866 824 78Q-1 <br />Toll Free <br /> <br />SUBDIVISION -T4- C merL/d fbi/lle. <br />,e// /lMorf <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />JOB ADDRESS <br /> <br />6 OR./.e,J <br />Ja./Je/ /<. t&;g <br /> <br />3l/lf/ fJ"ri-k /h. /Yl <br /> <br />c/ <br /> <br />OWNER'S NAME <br /> <br />PARCEL 10 # <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />o SIGN <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 />PROPOSED USE: OSGL FAMILY DWELLING <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 />DESCRIPTION OF WORK / CLn CL-l <br />I <br />/~ '/. tjiJ.- I <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />P./?- e K .11','. v~b <br />SOl/ I <br /> <br />SQUARE FOOTAGE <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 />f$ BUILDING <br />r$ ELECTRICAL <br />r:p. PLUMBING <br />o MECHANICAL <br /> <br />$ J S, om, ()I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />PERMITS REQUESTED <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 />% /II~ <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 AREAD YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />--0 <br /> <br />i 57.""> <br />~./h ~ d~ STATE CERT OR REGIST # / <br /> <br /> <br />******************************************************************~, ~ <br /> <br /> <br />_ / ' (40:'''' COMPANY {L1or-h-, 8Qc-J-nc~ ~ <br />~ti.-~ ~/l <br /> <br />COMPANY <br /> <br />BUILDER <br /> <br />SIGNATUR~ <br /> <br />ELECTRICIAN <br /> <br />STATE CERT OR REGIST # <br /> <br />PLUMBER <br /> <br />* * * * * ** ** * * * * * * * * * * * * * * * * *. * * * *:~ * * * * * * ** * * * * * * ** * *7*/* * * * *** * * * * * ** * <br />/'1 L ~ A),{J tL . .j (c-Ie7'1'Lt t. j ,--J ~~ / <br />7~;J- ;t:/,~~ (0 ~ COMPAN / / <br />~# STATE CERT OR REGIST ! <br /> <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *.* * * ** * * * ** * * * * * * * * * * * * * * * * * * * * * t * * . <br />. COMPANY "--.--- <br /> <br />/' <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 />