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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATLU~ <br />BUILDING DEPARTMENT 5335 8TH st, ZephyrhillS, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />.12'" tl.:r OS- <br /> <br />PHONE CONTACT FOR PERMITTING <br />. ~/ J -. 91? - 5-rr:r y <br />IfJ Pi ~ 2:- <br />OWNER'; NAME !-Nn"';~ C . c.. DCcM11A;>PHOHE.. i b-.~~.-,,-:'i:- <br />;('~'1.ri'o~~~k--F~~ .7.L. L..~1/<J~~' 367 >. f?3 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE\ <br />o ALTERATION 0 REPAIR ,.~NSTALL <br />o DEMOLISH <br /> <br />PARCEL ID it <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o SIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />OMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />~OTHER <br /> <br />. c=J RESTAU~T & HEALTH. DEPARTMEN!~PPROVAL <br />..-.- JJr:C/ J? i:.jI!T ~ M t='7lf< t'f7!pf>".,-t <br />DESCRIPTION OF WORK":;;;-:-r~ ?,. ~ ~'''> <br /> <br />BUILDING SIZE if? X YtJ I~t: SQUARE FOOTAGE /<(00' <br /> <br />HEIGHT <br /> <br />,/ ~ <br />(T <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 />. H <br />:) <br />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY <br />FORMS. I t <br />;t- f']) 6-[ <br /> <br />2bL,fO <br /> <br />FORMS. <br /> <br />o BUILDING <br /> <br />$ '2~lhu <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />$ <br /> <br />VALUATION <br /> <br />o Progress Energy 0 W. R. E. c. <br />hM- MM-~)~~L IJr1fYl,<f+L <br />. (4;tH \J; 1\P-IJ f(\.1 ~ ~ <br />OF MECHA~CIAL INSTALLATION. t~~~ -- <br />, F-fLfI'i', <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />.M] 'OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />!@ 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 <br /> <br />COMPANY Si.h? /I). f? r:.. .,.1 . h e. <br />STATE CERT OR REGIST # C'Bc..OS- /.). ?3 <br /> <br />************************************************* <br /> <br />COMPANY <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST it <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />MECHANICAL <br /> <br />STATE CERT OR REGIST it <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST it <br />