|
<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 />PHONE CONTACT FOR
<br />
<br />DATE RECE IVED t, -- :2 7-0:;,
<br />PERMITTING (8/3) g10 -18 8S'
<br />
<br />OWNER'S NAME fA S' /lomG"
<br />
<br />6,t4r'Orl- ~d
<br />raJ~r\-
<br />~ ~ . ELOCK -f!5
<br />-(X1W,. 62..LlD
<br />
<br />PHONE 81 ~ - ? t; 9 - s..;)? '7
<br />
<br />JOB ADDRESS
<br />
<br />LEGAL DESCRIPTION: LOT(S)
<br />PARCEL ID # OJ. Zit; '21 -
<br />
<br />SUEDIVISION Git.Plr/p ~It'k. "";<'JiVHo"'~J
<br />
<br />(OBTAIN FROM PROPERTY.TAX NOTICE)
<br />
<br />WORK PROPSED: ~'NEW CONSTRUCTION
<br />OSIGN
<br />PROPOSED USE: DSGL FAMILY DWELLING
<br />o COMMERCIAL
<br />
<br />o ADDITION
<br />
<br />DALTERATION
<br />
<br />o REPAIR
<br />
<br />o INSTALL
<br />
<br />o MOVE
<br />
<br />'t5d 'Tow.vflo.-nE,s
<br />,.......wtJL'l'I PMHL'f
<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 AP~ROVAL
<br />DESCRIPTION OF WORK ',otAJ,V!tomE.f mDdel . (Ylar.finl~q,.ue.
<br />EUILDING SIZE SQUARE FOOTAGE .J ~fo3 HEIGHT 021 '
<br />
<br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
<br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
<br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
<br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
<br />
<br />& (1) SET ENERGY FORMS.
<br />FORMS.
<br />
<br />f'JeL.
<br />
<br />6i1 BUILDING
<br />
<br />~ PERMITS REQUESTED
<br />$!!l1, 1ru I afl-
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />o ELECTRICAL
<br />o PLUMBING
<br />o MECHANICAL
<br />
<br />AMP SERVICE
<br />
<br />~ Progress Energy 0
<br />
<br />W.R.E.C.
<br />
<br />$
<br />
<br />? \300.~OO
<br />
<br />o SPECIALTY 0
<br />
<br />VALUATION OF'MECHANCIAL INSTALLATION
<br />
<br />o GAS
<br />
<br />o ROOFING
<br />
<br />OTHER
<br />
<br />TYPE OF CONSTRUCTION: QI 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 />~llI?"rr:;"")IT'rlr(I~i'"""'~~"'l(1"" ~'" ,- r Irl'''''~''''-'''l'-'11''1'T7, '''-r."lr'-~'~-IHI'''j rr \--- .---- ~- r_ ~--- - -- -- -- - ~ - "11"---;11 r lr n "" I 11--' ','1 'j'1 -,. f"-' "1 ~;r.l"'llIr"rl11
<br />I! ~~ ::',1'1,.,1,,': ~' :11";:; i"",',:' Ii, '1'1 11'/' '.","" I",', I' ,i,' I" " , :' I,'. [ J " ill," "~I I, ': ,', II' ,', "," ,"'I' ,':'" ",I, If, '1:11' ",I'!II'; II :,':f'r'\'r:!,!U~:i"j;!
<br />
<br />J!L~1'~~'L:li:~ '''..J~~ll:...:::~-1 J'~ 1:1.:' ~",.L"....."..''''';~~,:", ____ ____... __ ..._'_ _ _._ _ _ ____".....:'.~L-"J.!.,'.L~~L~l' ~J.'~ 11L~l'J.'lu.....ll' '.JL ~1:..w~~Lbl'
<br />
<br />SIGNATURE
<br />
<br />~/
<br />~~
<br />
<br />/ . .
<br />
<br />COMPANY ClS/lomc C~I~-LEIlJ/V/1/Z-
<br />STATE CERT OR REGIST # CO C I :; 5;;J. t! :Uo
<br />
<br />BUILDER
<br />
<br />******************************************************************
<br />
<br />ELECTRIC~U ~ /
<br />SIGNATUR ~
<br />******************************************************************
<br />
<br />COMPANY .:TI3C Cc.-~C'1"~1 G at: Mmr'~
<br />STATE CERT OR REGIST # [C /300 I B B b
<br />
<br />PLUMBER
<br />
<br />
<br />COMPANY ll~rfl(/11.. SC#LE/Y7I'1~
<br />STATE CERT OR REGIST # ere 0 ill? ;;(. /
<br />
<br />SIGNATURE
<br />
<br />MECHANICAL
<br />
<br />SIGNATURE
<br />
<br />*****************************************************************
<br />
<br />::::TUR:O~~
<br />
<br />t><
<br />
<br />COMPANY C. S-ret<J....IItI6-
<br />STATE CERT' OR REGIS; # C ceo 5199 /
<br />
|