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<br />CI~Y OF ZEPHYRHILLS PERM~T A~~~~~AT~U~ <br />BunDING DEPARTMENT 5335 S'l:B st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />DATE RECEIVED \ 1"51<.::.:>(p <br />Ce II - KeD n~ <br />PERMITTING 3eic} a.O<.o 4d.~'iS <br />_,d4...1 tf~u.o,-5aL A.LjJ,~)l <br />).~.-yldA %." ~ <br />PIffiNE' . 0 J; }-/~..l)6 <br />'? h.~ . . <br />.-$-> <br /> <br />-r <br />OWNER'S NAME /c:r/11M V <br />I <br />JOB ADDRESS . 7::> q , .3> ) <br /> <br />ELA -1-( ~ r <br />) +-4 ..Ave <br />)<1 <br /> <br />Zrwh y r-h. ,~/(~ <br />T f <br />BLOCK I ): 7 <br /> <br />SUBDIVISION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID * \\_d.<..o_@\-c>olC)_IS'700 Ola..("') <br /> <br />{OBTAIN FROM PROPERTY,TAX NOTICE} <br /> <br />WORK PROPSED: []NEW CONSTRUCTION o ADDITION o ALTERATION P REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: ~SGL FAMILY DWELLING OMULTI-FAMILY Of OF UNITS o MOBILE Hm <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br />DESCRIPTION OF WORK fov..Je:>1.f.r~~ JI dcl,-f/)--) - /).'"'f),?'l ":i\,e,s - \=';~ 5~D <br />BUILDING SIZE Z 1ic$7>' SQUARE FOOTAGE 12-C50 HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <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 /> <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 AREAD YES 0 NO <br /> <br /> <br />BUILDER COMPANY SNIAt,v; f-S,,^<; <br />SIGNATURE ~~ STATE CERT OR REGIS' t eft- ObO'fI~ <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />N/If <br />I <br /> <br />, <br />STATE CERT OR REGIST * <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />N/ ll- <br /> <br />I <br /> <br />STATE CERT OR REGIST i <br /> <br />***********************************************************~****** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />N!I/- <br /> <br />I <br /> <br />***********************************.********~****~*************** <br /> <br />^J I f]- <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br />