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<br />t- <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8ft St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IWD <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br /> <br />OAI;' <br /> <br />PHONE <br /> <br />-jjz/ 77 y -J <br /> <br />JOB ADDRESS <br /> <br />~"-'?;{ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: []NEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />(OBTAIN FROM PROPF.RTY TAX NOTIC-El <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 <br /> <br />o ~TAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />/J 0 4~1 J~RJ;l!/; <br /> <br />. <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <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 />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />a <br />(!!;. /tl JJt / <br /> <br />VALUATION OF TOTAL CONSTRUCTION ~~ <br />// <br />o w. .. <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />o BUILDING <br />~CTRICAL <br /> <br />$ <br /> <br />~0 <br /> <br />AMP SERVICE <br /> <br />o PLUMBING <br /> <br />,.., - - ---- --- -- - <br /> <br />.....--....-...--..... ......- ......--......-..----..... -...........---...... -.....-,......... <br /> <br />padillE~S ~o pa~u1~d 'padX~ aillEN <br /> <br />padillE~s ~O pa~uI~d 'padX~ aillEN <br /> <br />~uaill6paTMOU~JE 6U1~B~ uosJad JO aJn~Bu61S <br /> <br />~uailla6paTMOU~JB 6U1~B~ uosJad JO aJn~Bu61S <br /> <br />4~EO UB a~E~ ~ou PHO P1PO 04M pUE <br />(UOI~BJIJ1~uap1 JO adX~) <br />paJnpoJd SB4 04MO <br /> <br />'4~EO U~ a~B~ ~ou P1PO P1P OOqM pUE <br />(U01~EJ1J1~uaP1 JO adX~) <br />paJnpo~d SE4 04MO <br /> <br />JO 'aill o~ UMOU~ XTTEUOSJad s1 041] <br />(pa6paTMou~oe uos~ad JO aillEu) <br />Xq <br />- oz ' JO XEP- ST4~ aill a~oJa8 <br />pa6paTMou~oe SEM ~uailln~~suT 6uT06a~oJ a4~ <br />,gO X~NnO:) <br />\in T).Jn'T ;r;rn :.l.T,\1,J,!': <br /> <br />JO 'aill o~ UMOU~ XTTEUOSJad s1 04MO <br />(pa6paTMou~JE uosJad JO aillEu) <br />Xq <br />-oz ' JO Xep - ST4~ aill a~oJa8 <br />pa6paTMou~oE seM ~uailln~~suI 6uI06a~oJ a4~ <br />,go X~NnO.:J <br /> <br />l-7n TUn":I :In r:r TVT C" <br />