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<br />l-ell <br />PfI <br />6/~~lf 7-/Lf'3 7 <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />.-- <br /> <br />OWNER'S NAME <br /> <br />W;/ / <br />) t6 6 ( J <br /> <br />Icr(Vl f{?/ <br />N c~fJl <br /> <br />e L PHO~E~~71)!fIj~) 3 vf <br />A v L f (21 f-!- ;7 ,;! ; rL- '7 ') 5J_l- <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL. I D # <br />WORK PROPSED: ONEW CONSTRUCTION <br />DSIGN <br /> <br />(OBTAIN FROM 2ROPERTY TAX NOTICE) <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: DSGL FAMILY DWELLING <br />o COMMERC IAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />~ER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT <br /> <br />{n II/lY <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />Ovf <br /> <br />Ii (? d f /J ~7 /J ( <br />r / <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />.:\, . / .1-.L> <br />~ tV; / <br /> <br />o BUILDING <br /> <br />I" PERMITS REQUESTED <br />$~-- VALUATION OF TOTAL CONSTRUCTION <br />/ <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />(JO <br />JILt ce. - <br />$ I <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 />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />CQ~~;E\t;~I~Q~:tQN <br /> <br />--___._______1 <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************,,********* <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************,,********* <br /> <br />PLUMBER <br />SIGNATURE ./ <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************,,******* * <br /> <br />rf() (, \ . <br />MECHANICAL COMPANY (J/)ov,an) / 1'/ () J '''7 { <br />SIGNATURE ~ - .d.. - STATE CERT OR REGIST # CAe 05 if 7 <br /> <br /> <br /> <br /> <br />*********************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />