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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-Q021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER' s NAM~CUo..fL <br />( <br />JOB ADDRESS ?J ~ \ -; '1 <br /> <br />Lee <br />1 +~ t1lff? <br /> <br />727- 2. 4? _(,("'7_-~. <br />PHONE Q _bd )"J..- <br /> <br />z t1-D: <br /> <br />326'11 ____ <br /> <br />LEGAL DESCRIPTION: LO'1'(8) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEl, ID # ll-au"'~\ -0'0)'0. 1;}.40D...IQ"O <br /> <br />LQ.B.1'All.L..E1illI:LElillEER T Y T M...liC2T.lCEJ_ <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTEPATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />o COMMERC IAL <br /> <br />o <br />INDUSTRIAL <br /> <br />0# OF UNITS <br />o SW IMMING POOL, <br /> <br />o MOB 1 LE HOME <br />[1 OTHER <br /> <br />PROPOSED USF~: OSGL FAMILY DWELLING <br /> <br />OMUI,TI-FAMlLY <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT' APPROVAL <br />,~. 6 mekJ tv c.r~mp re-rcP-t___ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOT1\GE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDINC:; PLANS & (1) SET ENERGY FORBS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMI'l' ONLY (2) SETS OF ENGINEERED PL.A.NS REQUIRED. / <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. // <br /> <br />o BUILDINC:; <br /> <br />$ 6200 <br /> <br />VALUATION OF <br /> <br /> <br />.:/5'/ ~ ~/' <br />~ <br /> <br />PERMITS REQUESTED <br /> <br />o ELECTRICJ\IJ <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <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 OTHE:R <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AB.EAD YES 0 NO <br /> <br />l <br /> <br />STATE CERT OR <br /> <br />~ <br />S<f1o.per CanS+rc lc.f-lQrl:J:h C <br /> <br />REGIST # ceca S"~ I~Y <br /> <br />BUILDER <br /> <br /> <br />~~~Q.I1,~lltC~~i~ <br />COMPANY 1/0.0..1 <br /> <br />*******************************~*****************~****k**~******** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE: <br /> <br />STA.TE CERT OR REGIST ff <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OB. REGIST # <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 CEB.T OR REGIST # <br />