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<br />~ <br /> <br />OWNER'S NAME A L-L+~LL <br />JOB ADDRESS 7 '-/0 (; ):j c02Q ~ L u J . <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 RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PHONE <br /> <br />7?2-~ 9520 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ~EW CONSTRUCTION <br /> <br />(ORTAIN FROM PROPERTY TAX NOTICE) <br /> <br />Os I GN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERC IAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INS'rALL <br /> <br />o DEMOLISH <br /> <br />DMULT I - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />DSWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT <br /> <br />er,'''1l<- ~~:;tk.w ~ <br /> <br />SQUARE FOOTAGE <br /> <br />APPROVAl, <br /> <br />/- ~ <br /> <br />. <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />RESIDEN'l'IAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMNERCIAL: A'rTACH (3) SETS OF BUILDING PLANS & (1) SE'!' ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF' ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R,E,C, <br /> <br />~UMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLA'I'ION <br /> <br />o GAS <br /> <br />o ROOF'ING <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 AREAO YES 0 NO <br /> <br /> <br />.,.t:8,:WI. i'jij;. '.11"," ',,' <br />.~:~W:' .. <br />~ "<<-'.:. 'l'.-.',.'f"''!'::;"",''i) <br /> <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\)~ f CU~~ <br /> <br />COMPAN~DE~t0: ~ L_ CO'" [( (ftlo0 ~ <br />STATE CERT OR REGIST # /9 LV <br /> <br />MECHANICAL <br /> <br />****************~************************************************* <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 REGIST # <br />