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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH. St, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />'3//0S- <br /> <br />, <br /> <br />PHONE CONTACT FOR PERMIT'rING <br /> <br />OWNER'S NAME~U(~_~ <br />JOB ADOBESS ~5d- ~'tC.- br, <br />LEGAL DESCRIPTION: LOT (S) I BLOCK ()O~ <br />I ~ - ~b -~ - CP<IO - CFl>t.fcXJ- <br /> <br />PHONE (s/~-i(j'';; -{)(f.;2S <br />(j/G-<'C-eJ J ~ Y <br /> <br />SUBDIVISION CK)~ . <br /> <br />PARCEL ID # <br />WORK PROPSED: ~CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />o SIGN <br />PROPOSED USE:~AMILY DWELLING <br /> <br />o ADDITION <br />o MOVE <br /> <br />oALTERATION. <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />oMULTI-FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />CJ RESTAURANT <br /> <br />DESCRIPTION OF WORK ~.s.::.. (... n l' 'e...",~ ~ <br />/ f I ~ 1./ X ;~/ILLIt <br />BUILDING SIZE '::tL Z 'T' I <br />. <br /> <br />& HEALTH DEPARTMENT APPROVAL <br />, <br />re~lde-vLC!L..~ <br /> <br />SQUARE FOOTAGE <br /> <br />/ Lftp 0 <br /> <br />HEIGHT <br /> <br />ff/ <br /> <br />RESIDENTtAL: 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 />~ILDING <br /> <br />$ IID,f)()() W <br /> <br />, <br /> <br />r-.:< oc) <br /> <br />PERMITS REQUESTED <br /> <br />itt UOO~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />t2rELECTRICAL <br />er;LUMBING <br />~CHANICAL <br />o GAS ~FING <br /> <br />AMP SERVICE <br /> <br />o Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ ~ 7 (9eJc cD VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION:~OCK <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 <br /> <br />~ <br /> <br /> <br />BUILDER hJ ~ .~- d ..J;r~ _" 4 A l.uz _ COMPANY <br />SIGNATURE<.!.--/" ~.:...~---- STATE CERT OR REGIST i C1!.L 03.51S</ <br /> <br /> <br />****************************************************************** <br /> <br />~ B .- <br />ELECTRICIAN -:i~ :,~ _~ COMPANY '\'r\ ' ~ <br />SIGNATURE -:::.:. ~=u=.. '**.. '** '** ~~~~~. ~~~~. ~~. ~~~:~~.: .= ..~oo J S ~ :s-. <br />PLUMBER./ ~ COMPANy~./!rJdk<~~ <br /> <br />SIGNATURE~. STATE CERT OR REGIST t c--pc.. ILf6l.S r.,O::J.... <br /> <br /> <br />************* *****************.~***********P'*******('**~. ******** .~ I J <br /> <br />MECHANICAL c ,-. COMPAN~f;>~'...f 1~ .x:.b... ~(!{ L <br />SIGNATURE -'" - STATE CERT OR REGIST # ~_ 0c.f!547';? <br /> <br /> <br />n -~- .1_ ' <br />OTHER COMPANY ~ p~ lJ't.v <br /> <br />SIGNATURE STATE CERT OR REGIST 'It ~ 15~55os <br /> <br />