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<br />'~ <br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIIWING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT <br /> <br />DATE RECE IVED I do - g - OS <br />-:J>a...:., J::> ~ <br />FOR PERMITTING <is'a~-qlo'-\- _~l53 <br />c:tJ;( Cc~1 \) I" ~ne.tt '\ <br />PHONElS6/- ? 7/- c?yt;'I_) <br /> <br />;::7. '5 ~r s t./ 1- <br /> <br />/1: -/l/~1-- #a I C"r- r' Cj )5" <br />JOB ADDRESS' :J9L16 CCi/~/t:/-;t cI 81,,/ ;Z~,PI. '-'-;/1' <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID it ~4-a(o.d\-aoo _oo\CO-b\~o <br />WORK PROPSED: ONEW CONSTRUCTION ~ ADDITION <br />DSIGN 0 MOVE <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />}[COMMERCIAL <br />c=J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br />DESCRIPTION OF WORK ~ C'! ;; /I k htl " )&1 f (" (7 /'I <br />BUILDING SIZE /.5"')( S-cJ" SQUARE FOOTAGE 7 5"0/$"1' If <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Of OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />o OTHER <br /> <br />"7 ' --II <br />HEIGHT J J <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTIO~rJ=~~~ I~- ~'r'~~ <br /> <br />r;pE- -t ." ::-. J r<=> - .- <br />PERMITS REQUESTED ----- I,' -------..-. <br />-'------~-- - <br />w' ...... e' <br />VALUATION OF TOTAL CONSTRUC'fION 01. QI"..l. - .~"- <br /> <br />0" BUILDING <br />~LECTRICAL <br />~~UMBING <br /> <br />$ <br /> <br />I/O} Ot1t). ~o <br /> <br />//' <br /> <br />Z'itJ <br /> <br />AMP SERVICE <br /> <br />o Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK 0 FRAME <br />FINISHED FLOOR ELEVATIONS '?f?4 S-d <br /> <br />o STEEL <br /> <br />~HER <br /> <br />../ <br />~ <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br /> <br />STATE CERT OR REGIST it <br /> <br />fer, e-b- <br />Z ?~<\::>D <br /> <br />BUIWER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />******************************************************************~~~ if <br />. '\ / /~ <br />S;ul-t<r"... ;'vtl/Cr -r 0-" In/~ COMPANY {;v...{A<:rr IPcWI't'" 1-t:t'i1rr~//" <br />. -2C/ .::>C~ <br />~ O:Do""~~..\- STATE CERT OR REGIST f .J~' 4J{'~~ <br />.. q~ fo - ~\ 3 .. G:,ao- '&70 } <br /> <br />; ~j ::*: ::* * * * *;;: ~*~* ~:** * ** * ** :::::: * * -; i ;*;:: ~* * *;i: :*~" 9 ~ <br /> <br /> <br />So 0 ~cirn."V\Cl../V\.~ STATE CERT OR REGIST # '?S-....... <br />. ,::c.,j -'is:'(.,,'~-(o'6 3 -ID05 <br />************************************************'****************** <br /> <br />ELECTRICIAN <br /> <br />/"~lLUMBER <br /> <br />(rfIfSIGNATURE <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />SIGNATURE <br /> <br />7j1~/ f?~ <br /> <br />COMPANY <br />STATE CERT" OR REGIST # fJ e ( 0 ,~() ~,5 ? <br /> <br />OTHER <br />