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<br />CI~Y OF ZEPHYRHILLS PERM~T A~~~~~^~~un <br />BUJlIDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />,:2 )20 I 0<;"" <br /> <br />\:)\J.'F ~J';"'\ ~ :S I?-t.( <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER' S NAM~~) ~,,^-.o,;' <br />JOB ADDRE S S :5'?"O ~ 1--.1/\J.. . ~t , <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />SUBDIVISION <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICE\ <br />~LTERATION 0 REPAIR 0 INSTALL <br />o DEMOLISH <br /> <br />PARCEL ID it <br /> <br />1\ - ?-b- ?-\ ~ 00 \0 - I "'?-'100 - 01"'70 <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0, OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HO~ <br />o OTHER <br />~ <br />tJv\J~~-1. <br /> <br />BUILDING SIZE <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 />c:J RESTAURANT & HEALTH DEPARTMENT APfROVAL <br />kS '\-G\.( I t'l.eC.r--cI ~c. 10 t\.Q. t"", c.iA ~,J ~ -e j <br />10'f.. \0 \Uood c;lc.~. <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br />~LECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />;JA <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <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 />COMPANY <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST it <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE - '\~ ~ ~ "" <br /> <br />COMPANyY(l-.p~ c?1Q.c..t- ..I~~_\ 1:-v\c. <br />STATE CERT OR REGIST =It f.C r~oa r'~<;" "} <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />PLUMBER <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />MECHANICAL <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 i <br />