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<br />CITY OF ZEPHYRHILLS PERMI'J.1 APPLICATION
<br />BUILDING DEPARTMEN'r 5335 8TH St, Zp.phyrhills, FL 33542
<br />813-7/30-00;;>,0 FAX,: 813-7/30-0021
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<br />Dl\'l'F, RECE IVED ________________'
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<br />PHONE CON TAC '1' FOR PERMI'I'TING
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<br />(lWNC.I(' S N^M~2J..M..jo i ~ of"'- .____ _..~___ PfI()HE
<br />JOB ADDRESS 5 ~a ~.L~-~~_____,____,___,_______,
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<br />5J l-1JQIR~____
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<br />l.EGl\L, DESCRIPTION: ['(J'J'(S) RL,OCT; SIJBDIVISION
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<br />'-----------------...
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<br />WORK PROPSEU: lJNEW CONSTRUCTION
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<br />FARCE I, I D It J. \ - d-(, - a \ - o.C:::Ll:Q~J.::J.~IL::J21 0 Q---,--------LQHJ.'ZUN-_-ERliI:1,...P.RDY.ERl'.L..TAX__N:,W: J:.C F]J_____
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<br />[1l\UDIT10N
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<br />[] l\ ['Tr.:rU\.T 1 ON
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<br />o HEP1\.lR
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<br />'JN~-AOr
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<br />[1 lNSTM,T,
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<br />Os I GN
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<br />o HOVE
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<br />1.:.1 ])81101,J S II
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<br />PROPOSED USE: DSGI, FJ\MI LY DWELLING
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<br />[.J COHf-1ERC 1A1.
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<br />[h1ULT I --, F'N1JI ,y
<br />[.J INDUSTfU l\L
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<br />Lilt OF
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<br />lJ H( JB 1.1.F: nom:
<br />[I OTIIF,H
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<br />[] SWIMfUTK: P'JOt.
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<br />DESCRIPTION OF WORK
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<br />o RESTAURANT & HEALTH DEPJ\p,Tl-1fo;r,J'I' l\PPROVJ\I,
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<br />_11-1~_ ill -~__________ __~______ .
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<br />So.Ul\f1E f\JCJT7\;E ____,___ HE:IGIlT __'.,_____,._____
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<br />BUILDING SIZE
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<br />HE:SIDF.N'ITl\[,: A'J"J'l\CH (2) PLOT PL.l\.NS f;, (2) SETS OF' BIJTLDlW:; PLANS f;, (1) SET ENERGY Eom~s.
<br />COMMERCIl\L.: AT1'J\CH (3) SETS OF' BUILDING PI,l\NS & (1) SET ENERGY FORMS.
<br />IF SIGN PERMIT ONI,Y (2) SETS OF' ENGINEERE:D PL.l\f'IS REQUIRE;[),
<br />PROPERTY SURVEY REo.UI RED F.'OR 7\L1J NEW CONSTRUCT ION.
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<br />[J BUILDING
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<br />PERMITS REQUESTED
<br />$d--"..l:l,~3~,._____ Vl\.L.UA'J'lUU OF' T(YI'l\L, CUNSTRllC:T!r>N
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<br />[.1 EI"ECTIUCM,
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<br />l\.MP S F:EV 1 CE:
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<br />[] F'L,On I Dl\ PO\vEfl
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<br />[J W.R.E.C.
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<br />o PWMBJ.NG
<br />[] MF.CHl\NICl\.L
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<br />,$-
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<br />Vl\LUl\T JON OF' MECHANCIJ\J., HlSTAlJl,ATION
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<br />o GAS
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<br />[] HOOF.'ING
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<br />[) SPf<~CIJ\LTY
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<br />o
<br />OTHER
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<br />TYPE OF' CONSTHlJC'l'lON: IJ BLOCK
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<br />o FHAI'1E
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<br />o STE:EL
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<br />o OTHER
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<br />FINISHED FLOOR ELEVATIONS
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<br />IS FROdECT IN HOOD ZONE AREl\[] YES
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<br />01'10
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<br />[BU~~D~RiL .-.---...----SO~9~2~c:~:!7:~-~~~~0;~~~.---
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<br />SIGNM'URE: STATE CERT OR REGJST It Cc..-C Osg. )31-
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<br />******~*****************~*~****~***L************~*~***k*A*********
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<br />ELECTRICIAN
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<br />COMPl\NY_______.
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<br />SIGNA'l'URE~
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<br />STATE CEHT OR RE(:;rST It ___
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<br />******************************************************************
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<br />PLUMBER
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<br />COMPl\NY
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<br />s IGNATURF;
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<br />------.-------
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<br />STl\TF: CF:R'I,' OR REC:1J~T It
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<br />--~._-----,-~--..._.,. "--,-
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<br />MECHANICAl,
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<br />.*~**'********~***'*********'****'****'**********J****************
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<br />COMP7\NY
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<br />--"--~----------~~----~
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<br />S I GNATUHE:
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<br />. ..,<'~--~ )'~.-s....,'tA"rE;'~eER1';'~R-.RF.(,'>1'S'f""it'''4-.' __
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<br />OTHER --_-+_:. C()MP^NL~~-----':'___~____._,______
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<br />SIGNl\'l'UR.E: -~-.t~L___,____________,__, STl\'J'F:; n:RT em HE;t~lST #___,___________~___,_,__"'_,
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