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<br />OWNER'S NAME <br /> <br />CITY OF ZEPHYRHILLB PERMIT APPLICATION (C~ (P-lt;-O,;l <br />BUILDING DBPART!bmT 5335 8th STRBET ZBPHYRBILLS. FL 33540"-...--____------![?!: <br />PhoneI813-780-0020 Fax:813-780-0021' <br />DATE llBCBIVBD t.. /.a -- t; ? <br />PLANS RBVIlIW i'EB , <br />81.3 CD' <br />PHONE CONTACT '783. ~ '10 <br /> <br />JOB SITE ADDRESS <br /> <br />Waf - fn;vri- <br />'1 ~,:3 1 6& lIB' vel <br /> <br />LEGAL DESCRIPTION I LOT(S) <br /> <br />Zc: ()hyr h', , (S <br /> <br />R <br /> <br />33~LfO <br /> <br />BLOCK <br /> <br />'. <br /> <br />PARCEL ID It <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED; (]NEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />(]SIGN <br /> <br />(]ADDITIO~ <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />~INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: (]SGL FAMILY DWELLING <br /> <br />(]MULTI - FAMILY <br /> <br />(]# OF UNITS <br />(] SWIMMING POOL <br /> <br />(]MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />[:]REeTAURANT & HEALTH DEPARTMENT APPROVAL <br />I?ESCRIPTION OF WORK ~etY) IAns.ul_ CoG '()~~cn In ~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />HEIGHT <br /> <br />o BUILDI~G <br /> <br />~TTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ,- <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTIQN. . _ ,,' J J4L . , <br /> <br />. J! ~,-jj;Mt " ;to r'j) <br />PBRMITIi! RBOUJ!:(lTBD;# .~ ~/;) r <br /> <br />VALUATION OF TOTAL CONSTRUCT~ l~~ <br />AMP SERVICE (] FLORIDA POWER (] W . R. B . C. <br /> <br />$ <br /> <br />(] ELECTRICAL <br /> <br />(] PLUMBING <br />~MECHANICAL $ <br />(] GAS (] ROOFING <br /> <br />TYPE OF CONSTRUCTION: 0 BLQCK <br /> <br />o FRAME <br /> <br />o STBEL <br /> <br />INSTALLATION f!J.~\;;,~ til'}' <br /> <br />,.,\\'~..'~_....... ), <br /> <br />" .. '\1' .. /. ;IV <br />, \. \ I'J U <br />(,... 6 .., <br /> <br />'82~,oo <br /> <br />VALUATION OF MECIJANCIAL <br /> <br />o SPECIALTY <br /> <br />o OTHBR <br /> <br />(] OTHER <br /> <br />FINISHED FLQOR BLEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONB AREA (] YES (] NO <br /> <br /> <br />BUILDBR <br /> <br />CO~PANY <br />STATB CERT OR REGIST It <br />CITY PROCESSING # <br /> <br />SIGNATURE, <br /> <br />~**********************************.****.***.*.****.************** <br /> <br />BLBCTIUCIAH <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATB CERTOR REGIeT It <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUHBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING It ' <br /> <br />" SIGNATURE <br /> <br />****************************************************************** <br />MBCHAHICAL C/o Jc.['PmCk(nnjt~_ COMPANyC)r/nne.l/ <br />I"'~ " . .. . -- 0 .\ STATE CERT OR ~EGIST. # f ~Jl 3 rocoo 7,2-00 () <br />SIGNATURE ~~~ C~TY PROCESS~'# ;1,.0, ?~D <br /> <br />.,.,.,',...,..".,..,..,..,.,..,...,.".,. 't~: ~:3tJJ" '(/1';,' ffi -'13S'1 <br /> <br />OTHBR COMP~~~_ <br />STATE CERT OR REGIST <br />SIGNATURE CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />