|
<br />cI~Y OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUIrING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
<br />813-780-0020 FAX: 813-780-0021
<br />,I DATE RECEIVED L\ - I L\ - 0<:0
<br />
<br />, PHONE CONTACT FOR PERMITTING (813) 690 -1885"
<br />
<br />PHONE
<br />
<br />81 ~ - ?~ 9 - 5".;)'7'7
<br />AAeAUfn <2<\:
<br />
<br />LEGAL DESCRIPTION: LOT(S)
<br />
<br />BLOCK
<br />
<br />SUBDIVISION e;"..i9-vo ~Ili:. --r;<"tVtlDf11~.s
<br />
<br />PARCEL 10 # O~ -J fc,-J./-SSSS' -COOoO - Oli"O
<br />
<br />(OBTAIN FROM PROPERTY.TAX NOTICE)
<br />
<br />WORK PROPSED: }(:l.NEW CONSTRUCTION
<br />o SIGN
<br />
<br />o ADDITION
<br />
<br />o ALTERATION
<br />
<br />o REPAIR
<br />
<br />o INSTALL
<br />
<br />PROPOSED USE: DSGL FAMILY DWELLING
<br />o COMMERCIAL
<br />
<br />o MOVE
<br />. 'r5li .Tow"J~ 0'">1'::,5
<br />~'MUL'fI rMlIf,Y
<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 />DESCRIPTION OF WORK .'0 w,vitom~!
<br />~o1'Av / L t
<br />BUILDING SIZE 3~ .? (" X:-. f:>3,3
<br />
<br />SQUARE FOOTAGE 15/ 7 Y b
<br />
<br />HEIGHT ;2/1
<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 />$ 3 fo ~ $57,00 VALUATION OF TOTAL CONSTRUCTION
<br />
<br />o ELECTRICAL
<br />o PLUMBING
<br />o MECHANICAL
<br />
<br />AMP SERVICE
<br />
<br />~ Progress Energy 0
<br />
<br />W.R.E.C.
<br />
<br />o GAS
<br />
<br />o ROOFING
<br />
<br />o SPECIALTY
<br />
<br />~6'1k1-- ~j.., 10 t/A/!?5
<br />VALUATION OF'MECHANCIAL INSTALLATION
<br />o OTHER
<br />
<br />$ .35,O~O
<br />
<br />TYPE OF CONSTRUCTION: 01 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 />~"~I('i'I,i",r"'""""r'"i''''' C .,"_ "',' II'T" ['''''''' "'~I"- .,,,, ..~.... .'" . '1"""" "1'1\" ,.. 1'1,1' '""" ''''f''-';''I' .""''''113"1'11'
<br />~i;il,:r", L' 1(;[ ,; :,;'!I":,, ',::', ";' 'I.'" I,",', " ~': :j' ',,' ',':' " ,: ' I , , !, '" ' <'I' ", ,'" ,I': i',;,'" 'I, ,',', "~I,:;:: 'i ii' :::1 ::,:":",'""",':',;,,,::),~~,:rf::I'i'I'liii~:"I:,i
<br />..,_~u.."'.c.:_~ .Cli.Jlh _"'"_" _..~_. ,.. L ,L...J ... ,~ _,~__ .. _,.__.____ .." _ -- .._~ iJ~,J.=-, LJ...-'-_!.2,~", ~._,~L_.L ~.Lw.,"..Wi"'"~'-"w'ill
<br />
<br />SIGNATURE
<br />
<br />~00
<br />
<br />/ t.. . .
<br />
<br />COMPANY tt S II o/ne C!oft-r - LEN/V /J t1-
<br />STATE CERT OR REGIST # CB C I :) 5;;' if:J. to
<br />
<br />BUILDER
<br />
<br />/ ******************************************************************
<br />
<br />
<br />ELECTRICI1\N tf!/ /J d _ / COMPANY 713 C C U?c., '" I <. M' 7';,,,,,/,,'1 f "
<br />
<br />SIGNATURE ~~ STATE eERT OR REGIST * EC /3001 B 8 b
<br />
<br />******************************************************************
<br />/7> // / .---.
<br />~/---- ..
<br />
<br />SIGNATURE
<br />
<br />COMPANY Ili<fllr//t. S'cIlLf'H7rl,J
<br />STATE CERT OR REGIST # ere 0'1/ ? ;< /
<br />
<br />I, ..
<br />
<br />PLUMBER
<br />
<br />MECHANICAL
<br />
<br />******************************************************************
<br />~. ,./~///-c.. COMPANY A -SrE':;/IIIItf- SrOI./&
<br />
<br />~U ur STATE CERT OR REGIST # Ct1 coSo '110
<br />~'
<br />~' *****************************************************************
<br />
<br />
<br />OTHER 1<0 orlfv.~7 "ff COMPANY C. S-ret</.....INb- ("
<br />SIGNATURE. )~W~a..~ STATE CERT OR REGIST #. CCc.:05?CJCj /
<br />
<br />/
<br />
<br />SIGNATURE
<br />
|