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<br />CITY OF ZEPHYRHILI.S PERMI'll APPLICA'rION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, F'L 33542 <br />813-780-0020 FAX:813-780-0021 j/ <br />DATE RECF.: IVED _L(2.--:I-:~LL_ <br /> <br />PHONE CONTACT FOR PERMITTING 3!2~~Z: o~~5___ <br /> <br />OWNEP'.c; NAME j..aV/S <br />,JOB ADDRESS 3 '??:? h <br /> <br />s~ ItA ~,s.~_ <br />q1"~ ,AU~ <br /> <br />PHONE <br /> <br />LEGAL DESCRl PTION: LOT (S) /J;;" J 3 BLOCK /0 f SUBDIVISION_____,_ <br />P ARC ELI [) II II - ;) 6 -;;1 / - 0 ('1 t 0.- 10 1100 - 00 It' _ (OR rAUU1illl::1..J2EQP-E.fITLJ.:f~l'IQ':,:.I ":'E.l. <br /> <br />Z-Hi{J5 <br /> <br />---_._->---_.-_._---_._~.~ - <br /> <br />------_.._---.....-_._~- _.'. <br /> <br />IvOHK PHOPSED: 0 NEW CONSTRUCTION <br /> <br />rH"ADDITION <br /> <br />OAI.TERATION <br /> <br />o P,EPA.LP <br /> <br />[J 1nSTi<' <br /> <br />DSI(:;N <br /> <br />o MOVE <br /> <br />o DEHOLISH <br /> <br />PROPOSED USE: OS(;L FAMILY DWELLING <br />o COHMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />. D StVIMMING POO'" <br /> <br />[J t--1O'31 L~: ~'()':; <br /> <br />[] ."l'f'~'. <br />() 1.:!.,t'. <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />/.6 X Ie;'; AJc/c//TJ 'c A/ <br /> <br />..----___..___ n__.___ <br /> <br />'iUlLIJING SIZE --Lb X 1<1 <br /> <br />SQUARE FOOTAGE 30 ~ <br /> <br />,/ <br />HE:IGHT V <br />-----0...___ _'__ <br /> <br />:~E:SIDE:N'T'TAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENEPC{ F'OVF. <br />COi'LME:HC 11\L: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPEHTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />rl1"11u I LU J. NG <br /> <br />PERMITS REQUESTED <br /> <br />$~~#-?lf <br /> <br />-- VALUATION OF TOTAL CONSTRUCTION <br /> <br />iJ ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWEH <br /> <br />o I'I. R.E.C. <br /> <br />, ) PLU!>1B LNG <br />!1'1'jECHl\N I C1\1, <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INST1\LLATICN <br /> <br />) GA,S <br /> <br />o EOOFING <br /> <br />o SPECIALTY <br /> <br />D OTHER <br /> <br />TYPF~ elf' CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHF:D FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o liC <br /> <br />- ----.--. ------. <br /> <br />CONTRACTOR SECTION <br />COMPANY Bn1hy E. \-\ \ ~.AI <br /> <br />._--~--_.._- ~ <br /> <br />BUILDER <br /> <br />.sIGNATURE ~ 7~' STATE CERT OR REGIST ff .k.6 Cc,/77.l-fL_..... <br /> <br /> <br />****************************************************************** <br /> <br />Co t.J&1. .:rA>~. _ . <br /> <br />8LEC'l'RICIAN <br />)IGNAI'Un~ <br /> <br />COMPANY_V &~____ <br /> <br />'-1..........:. ~ STATE CERT on REGIST # __________,_/ <br />,..,...........,....,.....................................,....... vi' <br /> <br />COMPANY :.oJ~.- <br /> <br /> <br />STATE CERT OR REGIST ff <br /> <br /> <br />PLUMBE R <br /> <br />3 I GNATT)P.F; <br /> <br />************************************************************1***** <br />!-18CHANlCAL i1 ~ COMPANY ___..::20 A//t':t... ~ <br /> <br />;rGNATUI\E_~. ~. STATE CERT OR ROGIST ff 1I.ff1 <br /> <br />********************************************************~k****~,** <br /> <br />OcJ <br /> <br />'JTHER <br /> <br />COMPANL___________ <br /> <br />; U;NA'L'!)R.E _____ <br /> <br />- STATE CERT OR REGIST ff <br /> <br />---~- -------~-_._._---" -. -- <br />