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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />B13-180-0020 FAX:B13-780-0021 <br /> <br />DATE RECEIVED <br /> <br />9 -~ 1'-01 <br /> <br />PHONE CONTACT FOR PERMITTING %/3- ?c:f.:< -33) 9 <br /> <br />OWNER'S NAME k'iu,'w (~U I~'\ I(.~\'\ I t3~n %V<)X.'s 73c:s.f <br />JOB ADDRESS 5'71)9 ,t~ Sh-~t::1 :Z~~".),i/J <br /> <br />PHONE ~/J - 7 tf..2 ~ I.. , ~ 0 <br />FI- 33S-YI <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPF.RTY TAX NOTlr.F.) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />[]ADDITION <br /> <br />[]ALTERATION <br /> <br />[] REPAIR <br /> <br />~INSTALL <br /> <br />[] SIGN <br /> <br />[] MOVE <br /> <br />[] DEMOLISH <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />[]MULTI-FAMILY <br />o INDUSTRIAL <br /> <br />[]# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOB I LE HOME <br />o OTHER <br /> <br />,.I <br />'6lJ'/W. <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />/A/<;h,11 D'("~lrl; i'lr tf/V5'(.~1 /)&1Y!lC.rn <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 />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />[] BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />/'~/ <br />/ <br />./ <br /> <br /> <br />// 0'7-; <br />I JL :}:3 -, .,' <br />(v(r L <br /> <br />.~-----~ '" - -.-- <br /> <br />PERMITS REQUESTED <br /> <br /> <br />[] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />frc?vC'~s €n 'U"j'l <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 />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES 0 NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ctLECTRIC~ <br />SIGNATURE...;......- ~-p~ <br /> <br />COMPANY PI9++, ~ ,E/~cfrl'c <br />EC- t!U)OI.:U",[f <br />STATE CERT OR REGIST # . C~~r - "'.;l'37 <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />COMPANY f'A1'h~ ~t"c:.HI; <br />STATE CERT OR REGIST # emc- 05~-i/7b <br /> <br />..,J~3~ <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />