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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br />352.-'I2-'I-()Ic:.f~ ~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />~ <br /> <br />..- <br />t.- <br />OWNER'S NAME i f <br /> <br />!2../7fAlf{. r CA-!3//V,3T5/ J/,,., ~IcO'jel!- PHONE <br />( <br />50 u T H /j-I/? 2-C?Hrr?!lf LL ,S <br /> <br />3c.3- 3"2- ~2.v <br />(f/J) 777-l.t 3 7l./ <br />. <br /> <br />JOB ADDRESS '39' J-lfC <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK Or/~/C-i? Oi';,Dt:IL L r t.-I,gu..- W//)C}JIl.< <br />&-~/f/t..r.setl!liAl4r::::. . v .- / J X. (2. N.ewW~ . <br />BUILDING SIZE J 0 A 2? SQUARE FOOTAGE IrJ.-O <br />. /~O <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 />HEIGHT <br /> <br />~ I <br /> <br />o BUILDING <br /> <br />~ PERMITS REQUESTED <br />'/ f ()ZJ ~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ ~)O& <br /> <br />$ <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 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 OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUIlDER &M ~ <br />SIGNATURE. 1 "f <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # cj:C-<JS'9?/{ <br /> <br />*****************************~************************************ <br /> <br /> <br />ELE~;:'" ~ -:7;,')' '" COMPANY (!o.,/.S Mo.,.f-.......'L E{<-<- XI>..' <br />SIGNAT~R~_i ~~. STATE CERT OR REGIST * tC/It>022-1..3 <br /> <br /> <br />** *** ;1r**..:'*.* * * ** ** *** ** * ** * *** ** * ** **** ***** ********* *** ***** ** * ~J <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 <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />