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<br />Lu05/THU 11:40 AM <br /> <br />ZEPHYRHILLS BUILDING <br /> <br />FAX No. 813-780-0021 <br /> <br />P. 002 <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDTNG DEPART-MENT 5335 B~ St, Z&phyrhi1~s, FL 33542 <br />813-780-0020 VAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />OWNER'S NAME <br /> <br />us t\o~ (ctfll~~')r- - Le..f\^~ ' <br />h?c-',-ch~ / L/ ///e..C!;r- <br /> <br />PHONE <br /> <br />9;3 -7~9 -5;;'77 <br />ey..f.fGt35 <br />'b13 ~~ ]&1' - 5J... 71 <br /> <br />PHONE CONTACT FOR PE~TTTING <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTIO~: LOT(S) <br /> <br />SUBDIVISION Cr-eS/vrti.-l Mill $ <br /> <br />PARCEL ID * <br /> <br /> <br />BLOCK <br /> <br />C/o <br /> <br />M <br /> <br />RT <br /> <br />N <br /> <br />WORK PROPSED: <br /> <br />o ADDITION <br /> <br />o ALTERATION <br />o DEMOLISH <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 />DWELLING <br /> <br />DMULTI-FAMILY <br />o INo.USTRIAL <br /> <br />Off OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />DOTHER <br /> <br />nESCRI~::J:ON OF WORK <br /> <br />r:=J <br />/Jew <br /> <br />RESTAURANT &. HEALTH DEPARTMENT APPROVAL p? <br /> <br />sf{( j A/1qole/: w4~*,~, ~~7~ <br />SQUARE FOOTAGE Z07b <br /> <br />2C?O ~ <br /> <br />BUILDING SIZE <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 ENERGY FORMS, <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />;(F L(jJ5 / <br /> <br />M BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />/C?9) Z/D <br />./S-O AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~f <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E,C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAs 0 ROOFING D SPECIALTY <br />TYPE OF CONSTRUCTION~BLOCK <br />FINISHED FLOO~ ELEVATIONS <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~O <br /> <br /> <br />BUILDER <br />SIGNA;otE <br /> <br />STATE CERT OR REGIST . <br /> <br />SIGNATURE <br /> <br />~~ <br /> <br />****.******.************.*****.*****.****~ <br /> <br />t== - c.J <br />COMPANY ~..> <br /> <br />P~5W tJe.J'lc <br />~. Roo, Lf SOl. , <br /> <br />:ELECTRICIAN <br /> <br />STATE CERT OR REGIST . <br /> <br />PL~ER <br /> <br />***.*.**w*****************************+***************~*********** <br />~?- <br /> <br />=HPANY l)" \I)-.{ (001,., pI" M ~;., e. <br />STATE CERT OR REGIST . CF'c l~d- (.;)-"1 <br /> <br />SIGNATURE <br /> <br /> <br />..................... *.............................................. *~..."......... "')-b* ....... ...*( * ....... <br />COMPANY. f' "1 S f)i(. A <... . <br />STATE CERT OR REGIST . C,..A<:...-os-o Lf( 0 <br /> <br />Ml!:CHANICAL <br /> <br />SIGNATURE <br /> <br />SIGNA'rURE <br /> <br />-4iw...... ..... .~:::;:,;..;;: 5[:;;;; ~. ........ <br />_ _ STATE CERT OR REGIST It C.C ~CoS7 991 <br />/' <br /> <br />OTHER <br /> <br />~~1'1 <br />