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<br />CITY OB' l(j.l!i.l:'tU:.t\n~l.IJ.li:) r.l:l.nL9.&.&..&. ~......_.......u____. <br />BUILDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />fo/z In <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />~ <br /> <br />OWNER'S NAME of (J f) /l//V6-- 6-1::121 (;2 1) <br />JOB ADDRESS . ~<::, [-I () it ~Lfl: s; <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # ll-l~ -1.(~oo/& -ltY101) "-()I'ltJ-~1,~ <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE\ <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERAT ION <br />ILJ./DEMOLISH <br /> <br />@-'REPAIR <br /> <br />~TALL <br /> <br />o MOVE <br /> <br />OMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT <br /> <br />[{(: Il()O~/~?- <br /> <br />& HEALTH DEPARTMENT APPROVAL <br />:L 'J r; v/2J, a- A- <br />/ . <br /> <br />~~ i/fL <br /> <br />, <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 1:0 S. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, '~U .,::;D <br /> <br />o BUILDING <br /> <br />j) """ PERMITS REQUESTED <br />I jQ\J tJv <br />$ D ~ 0 ~ ~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W,R.E,C, <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />INSTALLATION . :2 I~ <br /> <br />521-~ '7 <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 AREAO YES 0 NO <br /> <br />_~--'_'W'~'__~'~'~'~~"_'__,~_"__"~"_' ------~------ - --. - - -'-~-T"C-"'-------------'---' ---'--""~--"""'TI~ <br />, I J I I 'h, I I , ,I 1,1' I ' 't" 'cll~~' ;lr'f"f;tJY"lt,l~'l~!~/~~t~~JfJ~'Hf]'ffil~~~~J <br />~~~~~________~__~__.____~~~~ ~ 'Ji I 1,[1" ,Jftl~I"f,," 1~1_~~\."~''1''~:l;t~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />*************************************************************.*** <br /> <br />OTHER p) L If e--It 11/ P/ COMPANY Cr'- A J / \J j( 0 7J ;, / "J CJ <br /> <br />SIGNATURE ~I L- L/ STATE CERT OR REGIST # ReD 0 Lj j, 2. t..j I <br />