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<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 <br /> <br />~J4~ <br /> <br />DATE RECEIVED <br /> <br />~- c:L C; -1J1p <br /> <br />PHONE CONTACT FOR PERMITTING (8/3) g10 -18 8S' <br /> <br />JOB ADDRESS <br /> <br />U It//(} rl/f -r/ 0 r/ - Ie A/'(/ AI2... <br /> <br />it ~ vo ~ y) ((bad <br />:;;;;2.. . BLOCK 0 <br />. <br /> <br />-C:fXrj)"()2.ZD <br /> <br />PHONE 81 ~ - ? t, 9 - 5'.;;>'7 '7 <br />(\ ~~ ') <br />SUBDIVISION GII..l9tVP ~/a:. -r;.,,,vHof1T~.s <br /> <br />OWNER'S NAME US //omG <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I D # (; '3. ZIo - 2/ .. <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />WORK PROPSED: JONEW CONSTRUCTION <br />OSIGN <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br />. nd '1'"ow...,1I o.-nf'.5 <br />p,wuL'l'I FPdlII:.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 />DESCRIPTION OF WORK <br /> <br />10 wAJflom€! <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br /> <br />fY1(')(;J,e/l . S't ' U-Ol.L <br />SQUARE FOOTAGE ~ 3 q2- <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />JI' <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 />o MECHANICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~ Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ 3 ~OO./ <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: 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 AREAO YES 0 NO <br /> <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # CB C I;; 5;), (j:2 to <br /> <br />****************************************************************** <br /> <br /> <br />ELECTRICIAN~~ <br />SIGNATURE <br />********** ~***************************************************** <br /> <br />~::r <br /> <br />COMPANY .::T{3C CU=C'1"~1 G O{= 'Mm,r'" <br />STATE CERT OR REGIST # EC /300/ B 8 b <br /> <br />@ <br /> <br />SIGNATURE <br /> <br />COMPANY ll~ff/i/11. SC.fl LE /171'1 Ai <br />STATE CERT OR REGIST # ere 0 II / ? ;<, / <br /> <br />#) <br /> <br />PLUMBER <br /> <br />***************************************************** <br />COMPANY A S-rE lIVe:- S70Al iF <br /> <br />STATE CERT OR REGIST # C I"l CoSO "'/0 <br /> <br />OTHER r< 0 0 {'r N b'-. " <br />SIGNATURE p~~ <br /> <br />***************************************************************** <br /> <br /> <br />COMPANY C. S-rer<)...IN6- &!!J <br />STATE CERT OR REGIST #CCC05199 / <br />