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<br />0"''"' nAME ::lavt' 7 ex / u g A <br />JOB ADDRESS '2. GOt /1 .x} v.4 <br /> <br />\ .py x <...~ <..:.J~ n \ r\ c_ ~ AoL. Con.., <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION ')- Fer- ' -\- <br />BUILDING DEPARTMENT 5335 8~ St, Zephy.rhiJ.ls, FL 33542 t'\~~ <br />813-780-0020 FAX: 813-780-0021 \ /.~-,j 0 ~ ~"'- <br />DATE RECEIVED _ <br /> <br />PHONE CONTACT FOR PERMI~TING 30.1- 3C3 - d7~ i.f ~eri) <br /> <br />~, <br /> <br />PHONE <br /> <br />cgr--; () - 15' <? ( - 19 g / ~ <br /> <br />TAX NOTTCF.) <br /> <br />r~ <br />. rf\~ <br />(' <br /> <br />LEGAL DESCRIPTION: LOT (S) BLOCK SUBDIVISION <br />PARCEL ID # ~ 1/ - 2:5 - 2-) - (!) / ) (!) - (9ex?DfJ{;A 'ec?l:2 PROPF.RTY <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br /> <br />DSIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~OMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOEE <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ,L:i1~// (}:t1CY'et ~ac( Idr *-(-;;/:; k/'o>J< otPd. ,IJTA1 ,11t'1eh,M e. <br />BUILDING SIZE .1/'411 X (P 'CJ SQUARE ;OOTAGE 2 to HEIGHT /2 <br /> <br />RESIDENtIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMME~rA~: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />""3 ~ 5 14 ~ SERVICE <br /> <br />o Progress Energy <br /> <br />o <br /> <br />/y'oc-v <br />)JO t.ev/~b <br />b/J,~;;dJ ~ <br />o.'-'.c. '7) F~ _ <br /> <br />~UILDING <br />~LECTRICAL <br /> <br />~RMITS REQUESTED <br />$ j:{/ fu ~ C) VALUATION OF TOTAL CONSTRUCTION <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 />~TEEL <br /> <br />o OTHER -P'c" e. - fC\. b s-h e.e t <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />~j7.~ <br /> <br /> <br />****************************************************************** <br /> <br />~ COMPANY a~G E /...('?c!'iI"Ji-~ I,/UC <br />E a STATE CERT OR REGIST # E e.,b 00/,17 cr <br /> <br />BUILDER <br /> <br />ELECTRICIAN ~ <br />SIGNATURE 1?t 4t :At <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />/yoNE <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />/Y61Y'C <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />