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<br />DATE RECEIVEDCf In ~( <br /> <br />^ \ ---} /' PHONE CONTACT FOR .PE~T~';Nc$I3. - '707-82r7 <br />I\\~~T\-\ O~^4Ce:N?vz. / L . <br />OWNER'S NAME /( 015 r VUJleJll.n'~ L.LC ~fiONE _...~.. j <br />(45 '!:fJ/ . G4L L 8 c.vt) <br />I <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />JOB ADDRESS <br /> <br />2<:~aff/u..j <br /> <br />f-c.A-, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />iZCe.oMMERCIAL <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE; HOME <br /> <br />PERMITS REQUESTED <br /> <br />o OTHER/ <br />i <br />I <br />I <br />I <br />I <br />I <br /> <br />I <br /> <br />Y FtRM; <br />~!of <br />~ d.At q /11 <br />~ 1~~T <br />VALUATION OF TOTAL CONSTRUCTI' ~~1~~ <br /> <br />o Progress Energy 0 u~ to~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />h' rz.k <:; (l- file' IV It: u.-Q <br /> <br />H'/tG <br /> <br /><;; rz,rz: NICUd- <br /> <br />S-y ~ n~ <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />/hJS~ ~N <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCT I <br /> <br /> <br />S ", <br /> <br />o BUILDING <br /> <br />$ <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />sO- <br />Z~mo <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION: ~OCK <br /> <br />u:nsTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <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 />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHER <br /> <br /> <br />***************************************************************** <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST <br /> <br /> <br />...- <br />