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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8'I'B St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />,G__jg_iVJ <br />DATE RECEIVED cJ. ~ <br />PASCo P~RM(r SERV'i( <br />PHONE CONTACT FOR PERMITTING I - )Sw(Q - g ;V( - '7 g Cj t.j <br /> <br />OWNER' S NAM~.J< €v','~ Bah..... ..... Da.v l4 Cor n II LI <br />JOB ADDRESS 5"5";).5 1st- St-. <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION Z C. C. L- <br /> <br />PARCEL ID # IO-;t~- ~/-ODIO- D~L{OD-DD7[) <br /> <br />(ORTAIN FROM PROPERTY TAX NOTIC-El <br /> <br />WORK PROPSED: eNEW CONSTRUCTION <br />oSIGN <br /> <br />I!(ADDITION <br />o MOVE <br /> <br />oALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE:oSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />%MULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS ,;;J.... <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br />BUILDING SIZE / ~ x.. <br /> <br />D RESTAURANT <br />Ga..rc::{,j e- <br />~q f'l 'f <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />SQUARE FOOTAGE <br /> <br />3~~ I/J <br /> <br />HEIGHT .5~-t!- p/4....s <br />. <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 />m BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />75"00. p/7 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />& (1) SET ENERGY F9RMS. d <br />FORMS. _ "~~ "I iJ r <br />'VJ,;V 'J s <br />'AlO~ / ~, - <br />( .' <br /> <br />"---.--..--'- ~ <br /> <br />I f:j ')-, oJ ',> bej) <:s <br />35" <. ~ {iJ..J;c , <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />DGAS <br /> <br />o ROOFING 0 SPECIALTY <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 />CONtRACTOB.},'SECTIQN <br />.L,. '~"-; _ : .:: -.: ".;,' :';,: :-.-,."; ".;:;..~:,.:'.:.'_;,,:', .~'<:..' . _':'~, ,'. > .":'-':::.c-'. <br /> <br />BUILDER COMPANY c..t. .$T(,:::y~ C.O'vs""'e.uc-oo.v <br />SIGNA~A/-~t~ STATE CERT OR REGIST * tl.6~Dd-d-t39 <br />In~~\~~ ****************************************************************** <br />,....., COIIPANYtf/, t <t~17 C" d ~ ~,c" ;: Lr ,7"',,;') "n". "'" <br /> <br />f <br /> <br />ELECTRICIAN 1 _ <br />SIGNATURE 1\:-<'1' [;1 -I ~~lL~( <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 />