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<br />CIf!'Y OF ZEPHYRHILLS PERMIT APPLICATION q~-oc:<>~~-~\'nL-~ .., <br />BUIWING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 1- {,$tbto -5....'-1 - 7<69 \.f <br />813-780-0020 FAX: 813-780-0021 I~, '-_ J_= <br />,1 DATI: RECEIVED ~ <br /> <br />PHONE CONTACT FOR PERMB~TING l-<6{h..L6~4-1F!1J/ <br /> <br />OWNER'S NAME <br /> <br />Barnar cL E +/-}Jir <br />3 4c1~ 10 /JV in ttll (1'~ DY;. <br />d-~& <br />;;Ltf~ dJo -9-1 -IJ() <t O~tJ 6(jiJ.CJ-~ 0 <br /> <br />~ CONSTRUCTION <br />OSIGN <br /> <br />PHONE <br /> <br />f~&-81-1I~1t~~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />~{fJff/Jd ~I n-k. <br /> <br />PARCEL ID ft <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />WORK PROPSED: <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />OJ OF UNITS <br />o SWIMMING POOL <br /> <br />~BILE <br />o OTHER <br /> <br />HOMI <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br /> <br />BUILDING SIZE <br /> <br />I axf./{L <br /> <br />SQUARE FOOTAGE <br /> <br />r [J"t7YY1 <br />5() '-I <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />I (J no.. i <br /> <br />Y scr,(JCJf/ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING <br /> <br />; 21 ~c 0,") <br />qli(j/) ~ <br /> <br />PERMITS REQUESTED <br /> <br />/'<~ <br />~ <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy [J <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <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 />SIGNATURE <br /> <br />~ ~ COMPANY Or.JIJr <br />f11 STATE CERT OR REGIST # <br />*************************** ************************************** <br /> <br />BUILDER <br /> <br />EIiECTRICI~~dJ d jJ~. <br />SIGNATURE /'7 / '(){IJ7fiZ. STATE CERT OR REGIST # <br /> <br /> <br />6"" ................... ..~... ::......... ........ ............. .~ ~ _ i $~ <br /> <br /> <br />PLUMBER ;;1( COMPANY If' ~?\.i. fl>1r- <br />SIGNATURE STATE CERT OR REGIST ft <br /> <br />COMPANY <br /> <br />O(JJ/J. ,.. <br /> <br />~S, ,:,~ <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST ft <br /> <br />********************************************~******************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br />