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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUliLDING DEPARTMENT 5335 8TH at, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br /><" <br /> <br />~J'\~ -' <br /> <br />PHONE CONTACT <br /> <br />DATE RECEIVED {; ~';l9-tJle <br />FOR PERMITTING (813) e90 -188..(' <br /> <br />JOB ADORE S a <br /> <br />Co It,IJtJ/Z4 r/ 0 r/ - Le A/ .(/ AIZ. <br /> <br />AD In I~n ~a~ <br />~ ) BLOCK C/J <br />-Nltfr 0 "Ll D <br /> <br />PHONE 812> - 7(,9 - S.;;>? '7 <br />.- 6\a~ 3 - O,,\~ d ~k . <br />SUBDIVISION GILi'VJVO ~Il'k. "';\"NflOI11~S <br /> <br />OWNER'S NAME US' /10 me <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 10 # 03 -210" 2..1- <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />OSIGN <br /> <br />o ADDITION <br /> <br />'!"5d '10 w,oJ" 0.1\ C',s <br />PROPOSED USE: OSGL FAMILY DWELLING ~'-MYL'i'I rMHLY- <br /> <br />o COMMERCIAL 0 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 />"0 w,vltomF{ <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br /> <br />fllMeJ ~+ - &0;'1 <br /> <br />SQUARE FOOTAGE ~ 3q L <br /> <br />HEIGHT <br /> <br />~J ' <br /> <br />BUILDING SIZE <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. ~C/~ <br /> <br />~ BUILDING <br /> <br />PERMITS REQUESTED <br />g3,520, ~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />$ <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 />$ ~ \ 300.(X) <br /> <br />VALUATION OF 'MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <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 />COMPANY tiS lIornl: (~'<r-LEN/V/l1L <br />STATE CERT OR REGIST # CB C I ::? 5;2 t! :J 4., <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICI~~" <br />SIGNATURE <br />******* - ******************************************************* <br /> <br />~ F- COMPANY 17,(.1'1/""- S'Ull.EH"M,J <br />dU~ <br />STATE CERT OR REGIST # ere 0 lJ / ? :<. / <br /> <br />COMPANY .::TBC C(,..c;:c--r.</ ~ Or M/I'1~"7 <br />. <br /> <br />STATE CERT OR REGIST # EC /3DO I 9 B b <br /> <br />PLUMBER <br /> <br />SIGNA U <br /> <br />MECHANICAL <br /> <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER r<~/Z- <br />SIGNATUREL? <br /> <br />COMPANY C - S-re;f,/""IN6- <br />STATE CERT' OR REGIST # C C CO 5199 / <br />