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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8n St, Zephyrhills, FL 33542 0~ <br />813-780-0020 FAX: 813-780-0021 <br />DATE RECEIVED ~;2 .ly <br /> <br />OWNER'S NAME <br /> <br />1:. Oqe r <br />v <br /> <br />~9JtJ~ <br /> <br />-f- J urlJI-J.. Fol/(iIJJ'6e~ <br />J' -f-J.. ,4 pe /7 ve , <br /> <br />.., <br /> <br />Z~~Aflr~i!r Fl. <br /> <br />, (/ <br /> <br />PERMITTING / - r fJ, ~ - R J t.j - 719'1 <br />S C/ 'LC<.A/je .t a.J..r <br />I ~// 01//::::1.I"J7" <br />PHONE , (J(PUl-O~7-/~ I <br /> <br />PHONE CONTACT FOR <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # /tJ -r)f.p-J/- tJ3/()-(J{;(:aJ -0900 <br /> <br />SUBDIVISION <br /> <br />(ORTATN FROM PROPERTY TAX NOTICE \ <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br />OSIGN <br /> <br />9{ ADDITION <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE:~L FAMILY DWELLING <br />o COMMERCIAL <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 ~'e /'e-e ^ <br />/fp t 623 <br />/ <J X 7.~ <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />F /L{}!(}rJvte [~~ I'ePA roo ~) ~'Cot-e. \S/CL6 <br /> <br />SQUARE FOOTAGE 'I J3 f1 "HEIGHT \S'il S;/(l/JV <br />, <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />.t ,0 f. ?- <br /> <br />pr'BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />~ (){J(),OO <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <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 />ROTHER altun-I ~"'-- <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />CON'rRAcroRismCTIOliJ <br /> <br /> <br />BUILDER /2. ~ /. " . ,. .,,,,, C~ANY Oa Vi' '" <br /> <br /> <br />SIGNATUREJ~ ~/<4/ STATE CERT OR REGIST # <br /> <br />A tu/)( ~1/11 ../n? <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <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 />