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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 />DATE RECE IWD <br /> <br />PHONE CONTACT FOR PERMITTING %/:3- ?d'.:< -33/9 <br /> <br />OWNER'S NAME <br /> <br />If,f>.fe/ beck, If" V10ld 1- <br />3'1 &0 J Q u.c:ll.v-+z... U V' <br /> <br />t;:ul'1Y1J". <br />E rYl&t'"a..td Po,;' t <br /> <br />PHONE <br /> <br />7~-'':l'7 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />Zef'k<-rArl/c Fl. ":t.~"'4lJ <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />[j ADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />l3"'INSTALL <br /> <br />o MOVE <br /> <br />[J DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOB I LE HOME <br />o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />I>> S I-w II <br /> <br />e/~(:h-,~ <br /> <br />'(II <br /> <br />s'('y~erl~d ,;" fue).... <br /> <br />cp~L.r,', Dr"'1r'r"j' , <br />p.,. "'. 5" y--e c .. r1. / $,.....""/..1. <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />:It ,r;t)1J <br /> <br />o BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE 0 f'rc'1vC'~s €11'1:"Y"j'f rr' W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES <br /> <br />o NO <br /> <br />CONTRACTOR .'. SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE ~ ~ aJ ~ <br /> <br />COMPANY PfI+h ~ Ele-efn'c <br />CC- t:JOOI.:U,,[f <br />STATE CERT OR REGIST # c."l-t - ""~3~ <br />.5 ,,.;> <br />~tIZJ " <br />****************************************************************** .. <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />COMPANY f:,,#/~ .Ei~cj"l; <br /> <br />STATE CERT OR REGIST # Cmc - 05.=.-'176 <br /> <br />.,.,J.:?3J" <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />