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<br />CITY OF ZEPHYRHILLS 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 />LP ~, <br /> <br />,/ <br />/'07 <br /> <br />,- , ..- <br />PHONE CONTACT FOR PERMITTING 't: I-e,- Ct-\ '1 - a.:> i:> <br /> <br />JOB ADDRESS So ~3 <br /> <br />i...:~P.N;tlO f k~M~R\t ^Nd~R.SctV <br />q"T'" sr. . <br /> <br />PHONE ':c I <br /> <br />/ 't. . ; <br /> <br />OWNER'S NAME -:tV A IU <br /> <br />LEGAL DESCRI PT ION: LOT (S ) J f ;l. <br /> <br />BLOCK 'J. f J <br /> <br />SUBDIVISION c .'fr c> f:. i-\-\'\ \ \S <br /> <br />PARCEL I D # jl- tJ...~ - ~ I - <2 0- 'Q - ~ I 10 0 - Q 0 J () <br />WORK PROPSED: ONEW CONSTRUCTION (l(ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK Add <jG..~e it Sc~~J\.) poRch. <br />, .Gx~6 ...,... \ <br />BUILDING SIZE ~I1R"'5c. 1l{1J,.o poR.ch' SQUARE FOOTAGE <=6?:<1 Tc 1/\ <br /> <br />1 <br />HEIGHT 10 W^I\S: <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 ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />IH BUILDING <br />l!( ELECTRICAL <br />1M" PLUMBING <br />o MECHANICAL <br /> <br />J$.. <br />$ "Bq) 7?O, OC' <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY /3Gbby H;!foA.J CcNSI. :::t:'"'NC <br /> <br />SIGNATURE ~ E.~ <br /> <br />STATE CERT OR REGIST # elSe 04 77).5 <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY r ft.- ~ -LC ( A'?-.. "\:). ~(~c.--{-/,; L <br />STATE CERT OR REGIST # (JdA .257 d <br /> <br />ELECTRICI <br /> <br />******************************************************** <br /> <br />SIGNATURE <br /> <br />~ <?7~ <br /> <br />COMPANY ,(3t?,6hy fI/tro# Co/VS"/- .::rN'C~ <br />STATE CERT OR REGIST # I?F 00.57055 <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />