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<br />
<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUI'LDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
<br />813-780-0020 FAX: 813-780-0021 , ll. I.
<br />DATE RECEIVED ~ 1'-1 oeo
<br />
<br />PHONE CONTACT FOR PERMITTING (8/3) 610 -18 8S"
<br />
<br />'d\. (~O l "
<br />
<br />JOB ADDRESS (\lJ\\ If:>
<br />LEGAL DESCRIPTION: LOT(S)QL~~
<br />PARCEL 10 # 0~" 210- 21.. 1~j5"
<br />
<br />U It,lJO/l4 f'/ Or; - LeA/ AlAI2..
<br />.
<br />
<br />~~1A.U 'J
<br />BLOCK ~
<br />eOOOO" a Sf) 0 (OBTAIN
<br />
<br />PHONE 81 ~ - ?~ 9 - 5',;)'7 '7
<br />~ J;r jO (~)
<br />
<br />mcU-~ I- t"\
<br />
<br />OWNER'S NAME
<br />
<br />uS' )jomE
<br />
<br />SUBDIVISION G"..n,vo ~tt'j:, ~<uNrlO,.,,?j
<br />
<br />FROM PROPERTY,TAX NOTICEl
<br />
<br />WORK PROPSED: )d'NEW CONSTRUCTION
<br />OSIGN
<br />PROPOSED USE: OSGL FAMILY DWELLING
<br />
<br />o COMMERCIAL
<br />
<br />o ADDITION
<br />
<br />o ALTERATION
<br />
<br />o REPAIR
<br />
<br />o INSTALL
<br />
<br />o MOVE
<br />''I'''ld '10W,\hlo.1\E-S
<br />y..rMY L 'i'J: PM II L 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 />DESCRIPTION OF WORK '/0 w,vftom€S
<br />BUILDING SIZE -l ~~-S/" u3~ 3 \
<br />
<br />SQUARE FOOTAGE
<br />
<br />\~~10
<br />
<br />HEIGHT
<br />
<br />2[(
<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 />$ 3fo II g f I.. a) VAL~ATION OF TOTAL CONSTRUCTION
<br />AMP SERVICE ~ Progress Energy 0
<br />
<br />W.R.E.C.
<br />
<br />o ELECTRICAL
<br />o PLUMBING
<br />o MECHANICAL
<br />
<br />$ 3~OOO, '
<br />
<br />o GAS
<br />
<br />o ROOFING
<br />
<br />o SPECIALTY
<br />
<br />VALUATION OF'MECHANCIAL INSTALLATION
<br />o OTHER
<br />
<br />TYPE OF CONSTRUCTION: 13 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 />
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<br />JI)I 11'11' 11,11,;:, t"r, I, ,jl:111 '/ I 1'111, 1II',l Ill' I ~I' II I I ,I 1 il ,I ~ I ,J j! I ,I I 1 1:1 'I ': ',: II I' J\~II I " tl:lli 1'1 ill ::11,111 /111:111\; ;JII,~~)f'II'lrll\)J~t'~
<br />~~~~~~~~_~ ~~~~ ..J~~ I-,"~...l--_;LJ~' SL ~~~~I..I._.d I....~~'-~.:._ ~__ ___ ___ __~_'_ _ _ 1_ _ ____:...~.~~~~.~j!dl ':~LJ.'~~'~~' IIL~.l~LWl~lL ~~~,I~~1J~3~uJl/l
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<br />COMPANY tiS' lIom'E al~-LEN/V/J/Z-
<br />STATE CERT OR REGIST # CBCI:)S;;J.<;:Uo
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<br />******************************************************************
<br />
<br />SIGNATURE
<br />
<br />
<br />COMPANY .::T/3C Cc..GC-'1~1 ~ 01= Mm~"9 r. '
<br />STATE CERT OR REGIST # EC /300 I B 8 b
<br />
<br />ELECTRICIAN
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<br />*******************
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<br />**********************************************
<br />
<br />l?I_UMBER
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<br />
<br />COMPANY lIter"HII/!. S'cf/LF,77rl;.} __
<br />STATE CERT OR REGIST # ere 0 l./ / ? ;Z /
<br />
<br />SIGNATURE
<br />
<br />SIGNATURE
<br />
<br />******************************************************************
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<br />
<br />~{/~ :::::N:ERT~RS;:::':41; S;~H:OSO '//0'
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<br />MECHANICAL
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<br />*****************************************************************
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<br />OTHER 1<0 Of'/N~;> //...
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<br />SIGNA TURE .' /-:;>..-/Z~/ ?V
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<br />COMPANY C.. S-ret<J-./A/6-:,.i
<br />STATE CERT' ORREGIST # Cc. C,O 5199 /
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