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<br />MAR/31/2005/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 />Bu:n:.DING DEPARTMENT 5335 aU St, ZQphyrhi11.s, FL 33542 <br />813-780-0020 VAX: 813-780-0021 <br /> <br />DATE Rli:CEIVED <br /> <br />owNER'S NAME IJS ~~ 0'\fGr^~ll.r- <br />JOB ADDRESS 155'3t:;./C:.~h~b~ <br /> <br />LEGAL DESCRIpTION: LOT(S) BLOCK SUBDIVISION c('('5Ivrew Ih'1I5 <br />pARCEL 10 it 2/-..> (/ -30 N <br /> <br />Le.-A^ct1 <br />by <br /> <br />PHONE <br /> <br />913 - 7(,pCj - 5;1.77 <br />e..,.-i.'t.,3$ <br />'ll13 -~ 7&1' - 5~ 71 <br /> <br />PHONE CONTACT FOR PEWKITTING <br /> <br />WORK PROPSED, <br /> <br /> <br />CONSTRUCTION <br /> <br />DADDITION <br /> <br />PROPOSED <br /> <br />DSIGN <br />USE~GL FAMILY <br />D COMMERCIAL <br /> <br />DMOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DWELLING <br /> <br />DMOLTI-FAMILY <br />D IND,USTRIAL <br /> <br />D * OF UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE HOME <br />o OTHER <br /> <br />OESCRIPTZON OF WORK <br /> <br />c:::J <br />New <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />.A/1qole/: 4p"?~vC"'/ <br />SQUARE FOOTAGE 2 tj/ /b <br /> <br />sf{( . <br />) <br /> <br />ZO'os- <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <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 />PERMITS REQUESTED <br /> <br />~ BUILOING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ ./2:6/ b,.y,s <br />?oO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />I}(' Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYP~ OF CONSTRUCTION~BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />D STEEL <br /> <br />D OTHE:R <br /> <br />IS PROJECT IN FLOOD ZONE /\READ YE:S <br /> <br />~O <br /> <br /> <br />:ELECTRICIAN <br /> <br />**t~*******************.*...*.**.****.**- <br /> <br />COMPANY PS,} P4l\Sl.o <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />~(; <br />e RoO \ LfSOl' <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />t)" \I)~ Lo II}" pI J M ~ l" ~ <br />STATE CERT OR REGIST ~ C~C l+~ (';;>-Cf <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />......*** ""****** **" **.... *~..,. ** *r"'fi,***w**(.**.. <br />COMPANY. Pi "1 ~ oe., A ~ ~ <br />STATE CERT OR REGIST . CA<-- oS-O If{ (:) <br /> <br />Ml!:CHAN:J:CAX. <br /> <br />SIGNATURE <br /> <br />***.*****..*.******~~~:~:..~:~~f;~;;"******** <br /> <br />STATE CERT OR REGIST i CC.-CoS799/ <br /> <br />OTHER <br />