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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DEPARTMENT 5335 8TH at, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 . I I. <br />;-614 DATE RECEIVED -Ll \'\_6b <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME Ke-vt rL ~ <br />JOB ADDRESS~~k~-t:It- ~+. <br /> <br />PHONE ~r:s - 7?~-Ocf>~ <br /> <br />....; O-r- <br />. . <br /> <br />LEGAL DESCRI PTION: LOT (S) O...:l.J' 'D BLOCK ((){t.f'OO <br />PARCEL 10 # //-::L/p ~_ ~O -Ol,/Q:J~ ~f) <br /> <br />SUBDIVISION <br /> <br />o-c" C> <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE 0 DEMOLISH <br />BMU~~~ 0# OF UNITS <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEAI.TH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK n ~ P u...p ~ <br />BUILDING SIZE :5D)C ft:,cf''p q SQUARE FOOTAGE /GP 79 <br /> <br />HEIGHT <br /> <br />~ <br /> <br />IIY8UILDING <br />~ECTRICAL <br />~UMBING <br />~CHANICAL <br />o GAS ~FING <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. r:\ <br /> <br />, ~J~ cYL ~ 4 /079~~~ <br />PERMITS REQUESTED <br /> <br />$-1.. r~c>~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />c;;<Cf) , AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br /> <br />$ &/f9($>D~OD VALUATION OF MECHANCIAL INSTALLATION <br />o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION~LOCK <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 B-1.'15 <br /> <br /> <br />STATE CERT OR REGIST # ~..Js~ OsS-ls st' <br /> <br />, <br /> <br />******************************************************** <br /> <br />E:tECTRICIAN / ;, ~. ,- COM PAN y_\\,\ a." r--...; ~~ <br />SIGNATURr.:.~L'(~ /'-7~qi/ STATE CERT OR REGIST . cc. [SO!> 1.s<P.s <br /> <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br /> <br />COMPAN~ W~ <br />STATE CERT OR REGIST # c...,~ 'Jt-/.Q. S" toO ==>-- <br /> <br />SIGNATURE <br /> <br />MECllANICALL .. 1 r-- . COMPANY <br /> <br />SIGNATURE, :r~~~~ STATE CERT OR <br /> <br /> <br />OTHER -R~*;~*'**'****"~::N*~~ <br /> <br />SIGNATURE g ,i/tb--f.." .' ~~ STATE CERT O~ REGIST' # ~ 13;;{~ S"C>~ <br />