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<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 />PHONE CONTACT FOR <br /> <br />! Ii /&S <br /> <br />/ I <br /> <br />p&M<;QfERMIT SERVICE <br />1-866-824-7894 <br />Toll Free <br />PHONE 720- JY 9S <br /> <br />DATE RECEIVED <br /> <br />h/; /eox <br />. /Jjtl"r/t. . /)1'/#. <br />LEGAL DESCRI PT I ON: LOT ( S ) cl9/P <br />c) lJ -eJ-~ -02-/- ()(JfO - 00000- t9 9 ~()" <br /> <br />OWNER'S NAME <br /> <br />,IJ at' / <br />dr3.i <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION Em/~/d' ~<YnL <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: oNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />oALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE:}QSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />oMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />vltL6 <br /> <br />. <br />L eLf) ILl <br /> <br />Itl X.3~ ()A- C'JUd l <br />SQUARE FOOTAGE ,1 fl./ I' <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />J ~ 'tJr) <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ BUILDING <br />o ELECTRICAL <br /> <br />$ JtJ. aYJ. tfl <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ <br /> <br />/ 2 a . .:J .. <br />t? 5"'. ~.:> <br />3L. .,.:> <br /> <br />I ?J.-ik <br /> <br />PERMITS REQUESTED <br /> <br />G-Lf-'-. . <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />tt: . q1V <br />'3 /, <br />/Y/ <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 /> <br />BUILDER Q <br />SIGNATUR .. ~r <br /> <br />lJ~ <br /> <br />COMPANY <br /> <br />ho/JC.L <2;Vu2,. <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />:::::~ ~ ( lA~' \~/7 <br /> <br />COMPANY <br /> <br />nolA.l oW/Jr <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY <br /> <br />hlJ~ Ott.)MI <br /> <br />STATE CERT OR REGIST # <br /> <br />****************** *********************************************** <br /> <br />MECHANICAL COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />