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<br />MAR/3112005/THU 11 :40 AM ZEPHYRHILLS BUILDING FAX No. 813-780-0021 <br /> <br />CITY OF ZEPBYRHILLS PERMIT APPLICATION <br />BUJ:LDING DEPARTMENT 5335 8u St, Z"'phyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />P.002 <br /> <br />DATE Rli:CE IVED <br /> <br />OWNER'S NAME lJS ~f'\t. Cc\fC[?\~lIr-- - Lf.-f\^OLt <br />JOB ADDRESS .'79 .'3/ /'??r-rch~r{////cC::;'r <br /> <br />PHONE <br /> <br />giJ -7&9 -5;1..77 <br />e'f+. /(,3$ <br />?l13 ~~ 7 (/j - 5 :J.. -n <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />LEGAI. DESCRIP~IO~: I.OT(S) BLOCK <br />PARCEL ID it 35" 25-, Z/- ..>ss -oc:cz::c;-- <br /> <br /> <br />SUBDIVISION Cfe5lvrti-J I/;[Is- <br /> <br />M PRpPERTY TAX NOTT~F.\ <br /> <br />WORK PROPSED: <br /> <br />EW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED <br /> <br />DSIGN <br />USE ~GL. FAMILY <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DWELLING <br /> <br />DMULTI-FAMILY <br />o I No.USTRIAL <br /> <br />o If OF UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE HOME <br />o OTHER <br /> <br />OESCRI~J:oN OF WORK <br /> <br />r=:J <br />N(! vJ <br /> <br />RE:STAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />sfR. j .A/1.ac/e/: ~~~t?r L~c;(;?,-,~- <br />SQUARE FOOTAGE Z.Y/6 <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENE:RGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />M BUILDING <br />o E:LECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ /26/ 6.Yb <br />ZC?O AMP SE:R:VICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~f <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF ME:CHANCIAL INSTALLATION <br /> <br />o GAs 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION~BLOCK <br />FINISHED FLOO~ ELEVATIONS <br /> <br />D OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~O <br /> <br /> <br />BUILDER <br />SIGNA;O~ <br /> <br />STATE CERT OR REGIST t <br /> <br />****.***..********.*.****.~.*******~ <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />D ~..J. <br /> <br />PcltSlo tJe.J,rc <br />e RoO 1 LfSOt' <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />*******~*****************.**.******k****.*~*********** <br /> <br />PJ:.UMBER <br /> <br />COMPANY \)" ~ Lov~ pl"M\'\"t <br /> <br />STATE: CERT OR REGIST . ere l ~ d- (.,;}-Cf <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />..** *** ......**.o.**. ** * *..... *~.o.,.o... * **~**** .o.*f.**.W <br />COMPANY. f' "1 S {)i( A <... . <br />STATE CERT OR REGIST .. CA<-OS-o Lf( (:) <br /> <br />MECHANXCAL <br /> <br />OTHER <br /> <br />~~""1 <br /> <br />~""""""~~:~:"~:;;~i;;;;"""'" <br /> <br />"" / .' STATE CERT OR REGIST * CC-CoS799/ <br /> <br />SIGNATURE <br />