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<br />CITY OFZEPHYRHILLS 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 />PHONE CONTACT FOR PERMIT'rING <br /> <br />OWNER'S NAME L \ f"\ d-.Vj F\ G-C ~ <br />JOB ADDRESS S ~ L\ \ c:; ) ~ Ave, <br /> <br />PHONE 'I [ 5- d S-d') <br />." <br />?-e~ <br /> <br />LEGAL DESCRIPTION: 1.0'1'(8) <br /> <br />BL.OCK <br /> <br />SUBDIVISION <br /> <br />PARCKI. ID # J 1- 'd-.6- ~ \ - L:::C'.)\("}/" 0 ~~oo .....OllS-.LOJ3J:lU.tl......E'E.0M-~C_EL-. <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERAT ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMt1ERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />o <br />OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~e(c~ <br /> <br />3C'l <br /> <br />~ r>-A- . <br /> <br />~ fl\- <br /> <br />I]) ~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMl1ERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMI'l' ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR AL.L NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ :-\660 .60 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICA.L <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUl'1BING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLArION <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 />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />FINISHED FLOOR ELEVA'rIONS <br /> <br />c ~____ u_________________________. <br /> <br />CO~C...-.~:<<f;;;rsmeT.!O. M <br />. . .. .'- ..' . - .. . .. <br /> <br />.--- -.--------.----' <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIS! # <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 />SIGNAT1JRE ~ ~ <br />.~ <br /> <br />COMPAN~W:. EJa~ ~;;r:J .'.Ii ( <br />STATE CERT OR REGIST # C. CCOS'17.s~ <br />