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<br />CITY OF ~J!i~t1.l~n.Ll.Il.I~ .c-.I:I.EU..&....~ ~..........'""------- <br />BUILDING DEPARTMENT 5335 STH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-7S0-0021 <br /> <br />DATE RECEIVED <br /> <br />~f )/t;~ <br /> <br />. <br /> <br />PHONE GONTACT FOR PERMITTING q~7-C>( 5<r <br /> <br />OWNER' S NAME C ~ Ir, ., 1M a.c.c.c,. ((YLL I~J 5 f)~ <br />JOB ADDRESS '3~o3 I Noy-ft, ..Au'<-. ~4~-k J~ <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # t'J "Z- 'Z0 - 2-1 ~D - OtJldbt)- COlD (OBTAIN FROM PROPERTY TAX NOTICEl <br />WORK PROPSED: ~EW CONSTRUCTION 0 ADDITION o ALTERATION 0 REPAIR 0 INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~OMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK FV'(;)..\M.~ ~ +1Lvfc,,,..-- WAlls' Foy t~ l2~W'\~ O~~c...C2. <br /> <br />BUILDING SIZE ').<:!J1C~O <br /> <br />SQUARE FOOTAGE 'I ZOO. If <br /> <br />lr"/t <br />HEIGHT _2f.. <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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION. <br /> <br />EJ'" BUILDING <br />IW'ELECTRICAL <br />~LUMBING <br />~ECHANICAL <br /> <br />$ <br /> <br />(7Jia:o r c;::- <br />'2<!:C <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />4. / ~A ~ <br />I (&:> ;:.x-'. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br />~RAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />_--",""'~r"-~~'ZST:rN---'---"'---"'" ~-r'I--"'----~-----'" .. ---..---.~-...-.. r-rr~-.--" -..... --~--f""TIJ:"'= <br />{~:""II,/;II1"1 J 1 ~l I ~ I ~ I j,I,:JI,1 ,,1 1 ll, \ ~ ~ I, l,t~l.r:J":\'1 ~ 'jr'i'(:HiHj,r;1rtf~I~.:,1~t!~~l1f~tW~~ <br />IrlJ~I:11 J'll~"I'llIlri\i'l t IIUI 11 I" I' 'I,ll 'f I ~', ! '1), I'M ') I I" ~Jr'L;qjf'-j!.ll~,"~It-<,I';"Ii1UtW! <br />.~~~~ilil.......L~L______~__~_~____~___~__I...~_-",~ 11tl III !' ", lJr_-, ~!4~ <br /> <br />BUILDER <br />SIGNATURE /34 fr~ ~ <br /> <br />COMPANY Bo b l2...\ov...vV\. G, VL~tv-,...l(:.....+tov\ <br /> <br />STATE CERT OR REGIST # cr; c 0 lOCI 3 r <br /> <br />ELECTRICIAN <. <br />SIGNATURE <br /> <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY 14ffltt'f7.. c..le47Z{C GYIJ/V Y <br /> <br />~ <br />STATE CERT OR REGIST # lEe (J()(J /2.ty . <br />~ <br />************************************************* <br /> <br />PLUMBER <br /> <br /> <br />COMPANY R w\'n~< S ~I Uvn, & / \\.\ (;, ll\.lC <br />STATE CERT OR REGIST # C~r:-C i4'2 5' i Cot? <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />**********************************),h********************** <br /> <br />COMPANY (?., br.~,~ <br />STATE CERT OR REGIST # LAc.o /3 Y'70 <br /> <br />MECHANICAL <br /> <br />****************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />