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<br />CITY OF ZEPHYRHILLS PERMiT APPLICATION <br />BUILDING DEPARTMENT 5335 8'. St, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />C,h ,III' ~ <br /> <br />OWNER'S NAME ~&...L r bIZ;) <1 <br />JOB ADDRESS 71",'1 ~ 6-,...11 "AI./i <br /> <br />DATE RECEIVED <br />PHONE CONTACT FOR PERMITTING 'l'll-lIZ' "::>J<f / <br /> <br />J/ <br />.....r?t:.. . <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID #34 -l~-~ l./-O/Jo> OO()DO.' 0040 <br /> <br />IORTATN FROM PROPRRTY TAX NOTT~RI <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />')ZI INSTALL <br /> <br />~IGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />W1COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH <br />DESCRIPTION OF WORK fef17{'lve e'<;fh(j <br />BUILDING SIZE 75' x t. 0 ' <br /> <br />SQUARE <br /> <br />DEPARTMENT APPROVAL <br /> <br />S'~rl'j 'i- (/I >h/I <br /> <br />FOOTAGE .; oS;Z Z <br /> <br />/leN. <br /> <br />5<1P1~ <br />,9' <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 <br />FORMS. <br />POl\! <br /> <br />tJ ,;.11 <br /> <br />ENERGY FORMS. <br /> <br />5;.>-" <br />Siy" <br /> <br />PERMITS REQUESTED <br /> <br />;8 BUILDING <br />o ELECTRICAL <br /> <br />$ /SlJO,t}o <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o <br /> <br />Progress Energy <br /> <br />o <br /> <br />W'R'yj'. <br /> <br />-" <br />_ ') u <br />j2, <br /> <br />AMP SERVICE <br /> <br />o PLUMBING <br />o MECHANICAL <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 />BUILDER <br /> <br />CONTRACTOR SECTION <br />COMPANyt1?3e~ 5;J.N 5ee~J,{..c:. <br />STATE CERT OR REGIST # ESoo(}o/Oj- <br /> <br /> <br />************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <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 /> <br />~ <br />- 0;0; <br />~ <br />-rY'f~ 3j1~ <br /> <br />S.'L<..... <br /> <br />/30 4- <br /> <br />~s 4> <br />