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<br />CITY OF ZEPHYRHILLS PERMIT APPLICAT~U~ <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />4-18 -0(;, <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PARCEL ID # <br /> <br />T/'ti /) <br />;Jif A/a ^-.cI lirJfJ <br /> <br />~ , <br /> <br />LOT ( S ) d~ BLOCK <br />,JC! ~cJ,) -Jj - 0/ rJrJ- (JOG O(j- cJ3(~ () <br /> <br />PHONE <br /> <br />'~.,.j Ii. <br /> <br />OWNER'S NAME Otl{' <br />JOB ADDRESS },J/ r <br /> <br />. ~,~;~:,GJ:;>.~'~ <br /> <br />( , <br /> <br />ii''! ~'-~::.,.- <br /> <br />LEGAL DESCRIPTION: <br /> <br />SUBDIVISION O~ I2tL/i P!Jtlo,JQ / <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 9<NEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH <br /> <br />DESCRIPTION OF WORK -TIt (5 CU-l f) rOoM <br />(/', :I /~ / <br />BUILDING SIZE lL SQUARE FOOTAGE <br /> <br />DEPARTMENT APPROVAL <br />a.J 'S~b <br /> <br />/JfrJ <br /> <br />HEIGHT <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 /> 4. ~rL-.u'? PERMITS REQUESTED <br /> I <br />f/J BUILDING $ .3 M 7.).tJJ VALUATION OF TOTAL CONSTRUCTION <br />l <br />. <br />0 ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />0 PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 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 /> <br />BUILDER COMPANY <br />SIGNATURE '-51 u.ti.'t {/f.&-(}.JI-: z...~ ST,ATE CERT OR REGIST # <br />I ' (Uf!)'tN <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />