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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 RECEIVED <br /> <br />;3)ofr s <br /> <br />I , <br /> <br />PHONE CONTACT FOR <br /> <br />PVl'f1. '.t.T ING <br />t"A~(;O PERMIT SERVICE <br />1-866-824-7894 <br />Toll Free <br /> <br />tCL! PI.. j/().;'/'/a II <br /> <br />, <br /> <br />JLJ'I7 jJJl'i(e /1t /;/~ <br /> <br />LEGAL DESCRIPTION: LOT(S) 300 <br />02,/ -~ --cl/-oos-o - tJO(X)J-JaJO <br /> <br />OWNER'S NAME <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION EftMt1 1/' /0/* ,ef/ <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: tANEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: CJSGL FAMILY DWELLING <br />o COMMERC IAL <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI - FAMIL Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />,.8.1 OT HER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />laJ)[i.-; E/e ( /1"( C <br /> <br />BUILDING SIZE <br /> <br />/Ji-36L <br /> <br />SQUARE FOOTAGE <br /> <br />,iff f <br /> <br />HEIGHT <br /> <br />/0 I <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 />4.r ,,'" Ji-VA" ( . <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br />~ ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 AREAD YES 0 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 />f\ :-,:--..' '- <br />'cee~ ~1~~cI~ ,.c\AC. <br />a'1100115"') <br />OR REGIST # ~Y4 '1 <br /> <br />~~h~J--" ~ <br /> <br />STATE CERT <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************k********* <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />