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<br />
<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUH..oING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
<br />I 813-780-0020 FAX: 813-780-0021 / - ~9-/)/-
<br />" DATE RECEIVED (E!.. - - ~
<br />
<br />! PHONE CONTACT FOR PERMITTING (8/3) gC;o -18 8,j
<br />
<br />JOB ADDRE S S
<br />
<br />U Iti/O tl4 r/ 0 r./ - Le-A/ AI AI2..
<br />
<br />dla.isle f.cud.
<br />:2 4- 0 BLOCK rJ
<br />(11ffi .~ 2 4:(1)
<br />
<br />PHONE 812> - ? (; 9 - S";>'7 '7
<br />
<br />OWNER'S NAME fA S /!OIJJE
<br />
<br />LEGAL DESCRIPTION: LOT(S)
<br />PARCEL ID # 0.3. u" 2J..
<br />
<br />SUBDIVISION Git.i-fpp ~/l'j:. -';'ulI.Ji-{Ot11~.s
<br />
<br />(OBTAIN FROM PROPERTY,TAX NOTICE)
<br />
<br />WORK PROPSED: Jd'NEW CONSTRUCTION
<br />OSIGN
<br />PROPOSED USE: OSGL FAMILY DWELLING
<br />o COMMERCIAL
<br />
<br />o ADDITION
<br />
<br />OALTERATION
<br />
<br />o REPAIR
<br />
<br />o INSTALL
<br />
<br />o MOVE
<br />. t'5li 'Tow,v>I O{l\ ES
<br />Jo'-"MUL'fI PMlIL'i
<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 />SQUARE FOOTAGE
<br />
<br />DEPARTMENT AP~ROVAL
<br />
<br />model. - St. Cra i}t
<br />13Q2.
<br />
<br />DESCRIPTION OF WORK
<br />
<br />c:J RESTAURANT & HEALTH
<br />"0 WAJ/tomES
<br />
<br />BUILDING SIZE
<br />
<br />HEIGHT
<br />
<br />{;t\~
<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 />r-Pl./ /'
<br />
<br />~ BUILDING
<br />o ELECTRICAL
<br />o PLUMBING
<br />o MECHANICAL
<br />
<br />PERMITS REQUESTED
<br />$ f3J ~20. Ql.- VALUATION OF TOTAL CONSTRUCTION
<br />
<br />AMP SERVICE
<br />
<br />~ Progress Energy 0
<br />
<br />W.R.E.C.
<br />
<br />$ 3l300. -
<br />
<br />VALUATION OF 'MECHANCIAL INSTALLATION
<br />o OTHER
<br />
<br />o GAS
<br />
<br />o ROOFING
<br />
<br />o SPECIALTY
<br />
<br />TYPE OF CONSTRUCTION: DI 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 />
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<br />
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<br />
<br />BUILDER ~
<br />SIGNATURY . . .
<br />
<br />COMPANY CIS #om'1: (~I~-LEN/V;Jt1-
<br />STATE CERT OR REGIST # C.B C I:; 5;;J. <; ::Uo
<br />
<br />******************************************************************
<br />
<br />
<br />ELECTRICIAN &/1 -1 d.A COMPANY .::TI3C CLc=C'1'~1 Go Or 'M-m,r-9
<br />SIGNATURE~/ k~~u1_ STATE CERT OR REGIST * EC /300/98(,
<br />******************************************************************
<br />
<br />SIGNATURE
<br />
<br />
<br />~,
<br />
<br />PLUMBER
<br />
<br />COMPANY ll{(fl-/r//1. SC-l/L("H719AJ
<br />STATE CERT OR REGIST # ere 0 (j J ? :z.. J
<br />
<br />******************************************************************
<br />MECHANICAL ~/;' f COMPANY A S{,E~/,/lVv- SrOA/iF
<br />
<br />SIGNATURE ~..c,C~R '-- _ STATE CERT OR REcaST # CI'l CoSo '-I/O
<br />
<br />~************************************************~****************
<br />
<br />OTHER
<br />
<br />r<oo~, ./
<br />SIGNATURE / - , - - ,/
<br />
<br />COMPANY C. S-ret<1-.IIt/6-
<br />STATE CEF.T' OR REGIST # C Ce..O 5?Cj 9/
<br />
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