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<br />CITY OF ZEPHYRHILLSPERMIT APPLICAT~U~ <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />S-I r-O.s- <br />DATE RECEIVED <br />PERMITTING 8/~ Zb7- fr{O~ <br /> <br />(fJ'J,....1t ~~"3 q If <br /> <br />OWNER'S NAME / <br /> <br />{;Q~5,;J CA,tfrl.e5 d- L(;G((;fk <br />~B-z.~ tAJ-r101l1V11.P fL- <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />D f..--U -'2,/_ ()2-I/~D !tDd-6l> /'b <br /> <br />SUBDIVISION <br /> <br />()fJ/'!wrU <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <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 />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />Nit- Lf /ltJmj)m~1 M c~ -b. f:.rvc If ~ ~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />& ~) SET ENERGY FORMS. <br />1/'S, . " <br />00. U ftlJ)G. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br /> PERMITS REQUESTED <br />$ /1/1/:,. 37 VALUATION OF TOTAL CONSTRUCTION <br /> AMP SERVICE 0 Progress EnergI 0 W.R.E.C. <br /> ALL WORKSHAL COMPLY WITH ALL <br /> PREY AlLING CODES, FLORIDA Buu.DING <br /> CODE, NA TlONAL ELECT'RlC CODE A. '\:- <br />$ OF ~~~~A' C"l"€)!fi^,\r.-" <br /> VALUATION MEC 'hLA f ,..' . <br /> o SPECIALTY 0 OTHER <br /> <br />o BUILDING <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL <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 AREAO YES 0 NO <br /> <br />~~~~~~~':~~:~~~~:~=,=_ ~,.'_~.=~~_.2~~=~~~~~__: ____ _ -, _ ~ - _ _ -_ u __ _ J~-~-~~~:_~_-:~~~~~~-~=~~- ;f-::::~:~'~:~"j:,~ <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 />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 Utvt1ti:!~ . COMPANy~!f C~ 1,vC- <br /> <br />SIGNATURE STATE CERT OR REGIST # L--~L-! SO g<f17 <br />