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<br />- <br /> <br />coro- <br />M~11~11~ <br /> <br /> <br />OWNER'S NAME fA ~ /10 IJ1 G' <br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI'LDING DEPARTMENT 5335 8TH at, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br /><..t-It.+-00 <br /> <br />PHONE CONTACT FOR PERMITTING (813) g90 -1885" <br /> <br />JOE ADDRESS . (j M--1 (p <br /> <br />CU~kr'O'/-lf;;;~ <br />.~. ~ A -./vB- <br /> <br />PHONE <br /> <br />81~ - ?~9 - s.;>'7'7 <br />:\A.~utn ed <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />() j-d0 -;;( -555.5 -00000 -6/(P() <br /> <br />BLOCK <br /> <br />SUBDIVISION G,LHtVP ~/t'k. -';wNi/onrt;.s <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />WORK PROPSED: JONEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br />'l"lzi '1ow,v/lo,-ne,s <br />P#r::l L'i'I PM 1 IL 'f <br /> <br />o DEMOLISH <br /> <br />o 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 APpROVAL <br /> <br />DES~RI TION OF WORK to W;VltOf?1. ES <br />o 71r /. { ... /_~ ~ <br />BUIL ING SIZE 310" ~)C fO? I ;, <br /> <br />SQUARE FOOTAGE /~ -; ~(p <br />. <br /> <br />HEIGHT <br /> <br />Z/I <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 /> <br />PERMITS REQUESTED <br />$ ...507, f? 57,00 VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />~ Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br /><7#/~ *,l-- 10 U/J/17J <br />VALUATION OF'MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />$ -::J -3/ () O~ <br /> <br />TYPE OF CONSTRUCTION: II 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 AREAO YES 0 NO <br /> <br /> <br />SIGNATURE <br />/ <br /> <br />COMPANY tiS lIom'E a;)/~-LENN/I/Z- <br />STATE CERT OR REGIST # CB C 1::( 5 ~ c.;::2 h <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICI~~ _ ;' <br />SIGNATURE ~ <br /> <br />COMPANY .::T13C. CO::C''f~1 ~ a r Mm~FJ' <br />. <br /> <br />STATE CERT OR REGIST # EC /300 I B B b <br /> <br />****************************************************************** <br /> <br />/-/ /-~/ <br />:::::RE /~~ <br />/ <br />**********~******************************************************* <br />:::::~ /~/72-- :::::N:ERTAORS::::';A1; S;~u:OSo </10 <br /> <br />/" <br />c/ <br /> <br />COMPANY lli<fHrJ,1. SC#LEH7I'/~ <br />STATE CERT OR REGIST # ere 0 lJ/?;Z / <br /> <br />***************************************************************** <br /> <br />OTHERr<O Of'IN6- ~ <br />SIGNATURE:;:- ~..~ ~/ <br /> <br />COMPANY C. S-rf?r<t..IA/6- <br />STATE CERT. OR REGIST # C ceo 5199 / <br />