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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATIUN <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />. rIJ~/~ <br />~ [; <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />LEGAL DESCRIPTION: LOT(S) /6l9 <br />o J -~& .:2/-0rJ-/d- OXXlj- /Jj() <br /> <br />BLOCK <br /> <br />PASCO PERMIT SERVICE <br />PHONE 1-866-A?4-7AQ4 <br />Toll Free <br /> <br />SUBDIVISION ,oeM C/lRvi , ml/fJ <br /> <br />OWNER'S NAME Tho//) it'" sl-oh J' <br />JOB ADDRESS ~OJ-I m//lP.PJ/u s.j~ I- <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <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 {!a"'J~orT of <br />(pO ' , <br />X/oL <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br /> <br />..slab (pr:utla,/ .s~ab ~1l/sfJl1) /;l Jl30 ,,~IAJ _) <br />ri (71 <br />SQUARE FOOTAGE _ 7 old r 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. Nee. - NI A <br /> <br />rp BUILDING <br />o ELECTRICAL <br /> <br /> <br />PERMITS REQUESTED <br /> <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 PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />~OTHER a,1/,(.W.l~ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />l'T1'~"""""""''1''''''''''''''''~~--"~"~--:-~~'''~''''''~-'~ ,...,--'---- -,~, --- --- --- . -- - ------. _.~..- .'---- .-...-. --..-..- .....,.'-'r .-"'7"7'C'....,.;,J;]i"",.,,'lliF"" <br />it 'il~' ili/J:r~,III,i' '~'III' ":J,',,,,' 'j ;,! I ',,: ,. II' '1'1'1..," " ",,' ,,' I" I ~ " "I', " " ' " 'u.,' ""~i~ji'~t~Jld!l~fD~~~W:t1<<!I~~,~~~"]~ <br />f~~W~:t:'~~1!!.:.~~&J:.i!ili:LiJ~_.;Li:!J2;:;"':":'':' ___._ __ _ __ ___ ,__ _..._. --- .-....:'.:.-' ~:..Jl.L.. L~:~LJ:j:L;!~ <br /> <br />SIGNATURE <br /> <br /> <br />COMPANycXU,ur- TAahjfJ' ~&J <br />/)2- 'j'" <br />STATE CERT OR REGIST # 1 <br /> <br />BUILDER <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 />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIS,]~ # <br />