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<br />'. <br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />EUI,LDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />1 813-780-0020 FAX: 813-780-0021 L\ -\ \..\...00 <br />J DATE RECEIVED <br /> <br />S1 08 t~ PHONE CONTACT FOR PEHMITTING (81.3) 610 -18 8S' <br /> <br /> <br />OWNER'S NAME fA S' //0 m G" <br /> <br /> <br />JOB ADDRESS UN I T I (6) <br /> <br />b~ <br /> <br />U Ie-po lZ4 r/ 0 r/ - IE A/ Jf/ At2.. <br />. <br /> <br />. t\ARA\..j1) ~'Ai?I~A <br /> <br />PHONE <br /> <br />81 ~ - ?~ 9 - 5"..:?'7 '7 <br /> <br />~lJVi:)- <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL 10 # 03-- d &r J- / ..s;S5:S - 0JJ:j) IJJ lal <br />\ <br /> <br />SUBDIVISION EIt.i'1,vo ~/d:. ~wNrlOt11t;:j <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />WORK PROPSED: )d'NEW CONSTRUCTION <br />OSIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />O 'l'5d' '10w,vllp,...",e-S <br />PROPOSED USE: SGL FAMILY DWELLING ~~L!i PMIILY <br />o COMMERCIAL 0 INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br /> <br />DESCRIPTION OF WORK 10 w,vltom€! <br />Td/f11- /:: V /' I <br />BUILDING SIZE J ~~. ~ ^ .~ 3,3 <br /> <br />SQUARE FOOTAGE <br /> <br />15 "L}-/0 <br /> <br />, <br /> <br />I <br />HEIGHT d ( <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 />~ BUILDING <br />o ELECTRICAL <br />o PLUMBING <br /> <br />PERMITS REQUESTED <br />$ 30 7r <6S-j, 00 VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~ Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />3 ~ 0-00 <br /> <br />-,err /f7,- Ih--L ./0 U /1ItU <br />VALUATION OF .MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: DI 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 />~1''-''I....n''-''ITi.qr'1"('7'l'-'/II'''''I'' '~~lrJ"". ""'''-r~-~rl'''''^~'' r, rfl '~'~I ..., rr l---~ -,--~-- ,-- ~-- - - ~ --- - - ~')J"~'I"'!:: ')"-11' r1 ,- I f" ,I ~'l "1"7'-'" f.lj-n\--jl,--m1'lftVlr1Wl'll' <br />jl\.')ll,ltll}cl,1 jl'j,ll:1 lilli' )1 I 1['11111 '1 Ii III, ,I ,\ I I I, II I J I 1 I 1 I III ': '/! )'11"\)11111 II'!' III 1,;II'll11)1'11~llli' I '111)1; :1,I)L~llrJ~rlil(1:~jll <br /> <br />_Q~~':~~:g~' ~":,~jL~'_d~iL:,J..L_"~.,'_~_~_~~-------- __.__ __ ___' _ _ _ __ :_":,~.iL,_~~,~"L:~~LLG~,i,,~~:l"~:~~I:LJ~,~iJit~ <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY US',I/ om~ (j)l~ - LEN/V /I fl.- <br />STATE CERT OR REGIST # CO C I :t 5;). 'I :110 <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br /> <br />ELECTRICIAN r1 /J I ~ / COMPANY .:Tee C{-€,c.,--<! {. 01' 7,1"'1""'.' \ <br />SIGNATURE ~ ~ STATE eERT OR REGIST * [C 1300 I B 8 b <br /> <br />*********~**************************************************** <br /> <br /> <br />~ COMPAN' ll~nlVl1. SUt'-E""'..} <br />t /. STATE CERT OR REGIST # ere 0 II / ? ::<. / <br />~********~******************************************************* <br />MECHANICAL ~., ,PY' COMPANY A S,..EI"I"INti'Srovi! <br />SIGNATURE .._ /f. ~~_ STATE CERT OR REGIST # C I? COSo '-I/O <br /> <br />PLUMBER <br /> <br />-\. <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHEH I<oor~-~ <br />SIGNATURE ~.. a <br /> <br />v/ <br /> <br />COMPANY C. S-ret</-/N6- <br />STATE CERT' OR REGIST # C ceo 5199 / <br /> <br />~- <br />