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<br />: I
<br />; I /1- ,,2 :l-() 'I
<br />: · DATE RECEIVED
<br />
<br />- u' PHONE CONTACT FOR PERMITTING (D.J) 9 ;28- ~',;::?cf /
<br />
<br />O..;,~~ ~~ 'NLg'::Em.t'.{' ':>/7 &c.Iztr;q /?dC,t21.tLr ~o/'''''rnr' PHONE (J' /3) q ;;,r-~-;o~ I
<br />j / .- ~J.I"-:../
<br />JOB AODRESS, . () j- lC' tt >' ,.::; '~- <' L
<br />
<br />LF~GAL DESCRIPTION: LOT (S) BLOCK 1/ SUBDIVISION JJh.aI'C"J' 1-;;rK.'r A'tf~-rI'~;'7
<br />PARCr::t ID # /q--d0 -:)) - 00' 0 - 0 / II) ()- 006t?rOBTAIN FROM PROPERTY TAX NOTICE)
<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 />WORK PRbpsr::D: ~EW CONSTRUCTION
<br />OS IGN
<br />PROPOSED USE: OSGL FAMILY DWELLING
<br />o COMMERCIAL
<br />
<br />o ADDITION DALTERATION o REPAIR o INSTALL
<br />o MOVE 0 DEMOLISH
<br />ftrMULT I - FAMIL Y 0# OF UNITS o MOBILE HOME
<br />o INDUSTRIAL o SWIMMING POOL o OTHER
<br />
<br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
<br />DESCRIPTION OF WORK /j/'(?t/' /~/h ~ N/'~I'l;7' J?c"'J'ldC""'/.?C('
<br />BUILDING SIZE d f.J l X (p'? l SQUARE FOOTAGE (~OO I
<br />
<br />IS'
<br />HEIGHT
<br />
<br />o BUILDING
<br />o ELECTRICAL
<br />
<br />PERMITS REQUESTED
<br />
<br />$ (9 ~~ .O'~,'? ~~- VALUATION OF
<br />~O
<br />
<br />AMP SERVICE
<br />
<br />}(
<br />
<br />& (1) SET ENERGY FORMS.
<br />FO~S. I
<br />i tl.,;tD i; l r;\!F,r;\.d
<br />
<br />(' t; () J I f~ 1('1 f 17
<br />I:) 1;(' \,11 l\{)j) f>l( I '-'Ii\
<br />
<br />,'"-A::. , S <..:...- ,(\, i (,I')
<br />TOTAL CONS TRUCT I ON,,_ I'~ i) -,~) , ,r
<br />( )' l' } 1/ If ,
<br />o W.R.E.C.
<br />'}'/
<br />' J. ""J )
<br />fl ) (, j
<br />'/ ,5
<br />,} (' )
<br />f I )
<br />
<br />FLORIDA POWER
<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 />o PLUMBING
<br />o MECHANICAL
<br />
<br />$
<br />
<br />qlf(/{). ~
<br />
<br />VALUATION OF MECHANCIAL INSTALLATION
<br />
<br />o CAS 0 ROOFING 0 SPECIALTY 0 OTHER
<br />TYPE OF CONSTRUCTION: 0 BLOCK tz(FRAME
<br />FINISHED FLOOR ELEVATIONS <;{'i, $' ,
<br />
<br />o STEEL 0 OTHER
<br />IS PROJECT IN FLOOD ZONE AREAM: YES 0 NO
<br />
<br />SIGNATURE
<br />
<br />~/
<br />
<br />
<br />CONTRAC'1'OR .', SECTION
<br />COMPANy//Iv;h L3ac'/i/z-/ C;?w's/rC/c/~d'7 ~M{
<br />
<br />BUILDER
<br />
<br />
<br />STATE CERT OR REGIST # c6'C{),.,l]~ 9 i
<br />
<br />******************************************************************
<br />
<br />
<br />SIGNATURE
<br />
<br />COMPANY I?Ju/Jl b-'LrCT~r'C Z'P?C
<br />,
<br />
<br />STATE CERT OR REGIST # 1:;,:'CO/;'>{;)3/5 (I
<br />
<br />PLUMBER
<br />
<br />** * ** * * * * ~ * ** * * * **** * * *** ;;r**** ** * * *"1** *t*.* * *** * * * LI ltt l'l
<br />I(;)J~l r VM~I''\& ~f(.,h1- u
<br />~ cOMP~~.,~;/~1J}}~,u5~JrI~ .
<br />
<br />STATE CERT OR REGIST # CIC:rOtj-'7 d/J,,-'-
<br />
<br />SIGNATU
<br />
<br />SIGNATURE
<br />
<br />**************************************************************~*** ,J
<br />
<br />~ '~ COMPANY 1'1::n :p.,,,, jot'S Ib,';',,,, l (hy "y'
<br />I (JJ-', STATE CERT OR REGl ST ff CP.tc i,Yt /if1 A..
<br />
<br />
<br />*****************************************************************
<br />
<br />MECHANICAL
<br />
<br />OTHER
<br />
<br />COMPANY
<br />
<br />SIGNATURE
<br />
<br />STATE CERT OR REGIST #
<br />
|