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<br />
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUILDING DEPARTMENT 5335 en St, Zephyrhills, FL 33542
<br />813-780-0020 FAX: 813-780-0021
<br />
<br />DATE RECE lVED
<br />
<br />~I\: S ,,1Il\HE ' l) \.A"<>' . JJ """""'0 n <.,
<br />JOB, M>DRESS...:2J y:) '1<., cl~' ~.
<br />
<br />PHONE CONTACT FOR PERMITTING
<br />
<br />PHONE
<br />
<br />..g'J,.,jd: -7S-VS
<br />
<br />'I. !
<br />L~GAL DESCRIPTION: LO!(S)
<br />
<br />BLOCK
<br />
<br />PARCEL 10 If J \) -' ~lo - ~ I . COlfD . OO\f~o .. ro SO
<br />
<br />SUBDIVISION
<br />(OBTAIN FROM
<br />
<br />WORK PROPSED: ONEW CONSTRUCTION
<br />, OSIGN
<br />
<br />PROPF.RTY TAX NOTICEI
<br />
<br />o ADDITION
<br />. 0 MOVE
<br />
<br />o ALTERATI ON
<br />o DEMOLISH
<br />
<br />o REPAIR
<br />
<br />o INSTALL
<br />
<br />," ; 'PROPOSED USE:,OSGL FAMILY DWELLING
<br />'',J t , . '"
<br />
<br />· I OC'OMMERCIAL
<br />
<br />OMULTI-FAMILY
<br />o INDUSTRIAL
<br />
<br />Off OF UNITS
<br />o SWIMMING POOL
<br />
<br />O,MOBILE HOME
<br />o OTHER
<br />
<br />DESCRIPTION OF WORK
<br />
<br />o RESTAURANT. HEAI.TH OEPAR"iNT APPROVAL
<br />
<br />, , ~'S 4 n~J N.-.....o~ f- \ ~ ~l.A~
<br />
<br />' SQUARE FOOTAGE . HEIGHT
<br />
<br />i;
<br />
<br />BUILDINd SIZE" '
<br />! i. IIi f : I' ~ ' .. ,
<br />
<br />I ,:
<br />
<br />RESIDENTIAL: ,ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET,ENERGY FORMS.
<br />"
<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 />o BUILDING
<br />
<br />u__
<br />OU
<br />$ ~.~ 19.
<br />
<br />- ?E~:[':l'S ,REQUESTED
<br />
<br />"
<br />.'. --.-..--.......
<br />
<br />..' r I
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />o ELECTRICAL
<br />
<br />"
<br />
<br />AMP SERVICE
<br />
<br />D FLORIDA POWER
<br />
<br />o W.R.E.C.,
<br />
<br />'.
<br />
<br />D", PLUMBING" ,
<br />
<br />j ,.. p , ~..,! ~.;! ~, (-.11; -\' . ,"
<br />o MECHANICAL-- $.
<br />
<br />... I' .:. . ~ ' .~,t.' iI
<br />o ,GAS, LIIJ ROOFING Ii o SPECIALTY
<br />
<br />VALUATION OF MECHANCIAL INSTALLATION
<br />o OTHER
<br />
<br />. " 1("
<br />,
<br />
<br />"1.' .
<br />
<br />11; ':'1"
<br />
<br />. '! I'~ ( .
<br />
<br />, I
<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 />b~""~~' "dT:tON
<br />,~.":..,:,, u ',. 'jce"...;Q~.~t,;....",~~_~.., ...".," ,J:.." ~
<br />
<br />
<br />BUILDER
<br />
<br />**...*.......*.*...*...*.******..***..**.*************************
<br />
<br />COMPANY
<br />STATE CERT OR REGIST It C.Cc.. 0 sg /31
<br />
<br />ELECTRICIAN
<br />
<br />COMPANY
<br />
<br />SIGNATURE
<br />
<br />STATE CERT OR REGIST It
<br />
<br />*********************.********************************************
<br />
<br />PLUMBER
<br />
<br />COMPANY
<br />
<br />SIGNATURE
<br />
<br />STATE CERT OR REGIST It
<br />
<br />MECHANICAL
<br />
<br />*****************************************************.************
<br />COMPANY
<br />
<br />SIGNATURE
<br />
<br />STATE CERT OR REGIST #
<br />
<br />j . I,
<br />
<br />*****************~***********************************************
<br />
<br />OTHER
<br />
<br />COMPANY
<br />
<br />SIGNATURE
<br />
<br />STATE CERT OR REGIST If
<br />
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