|
<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 />'. ,. ~~
<br />~
<br />
<br />PHONE CONTACT FOR
<br />
<br />DATE RECEIVED t.,-c:29-1J?
<br />PERMITTING (8/3) e90 -18 8S'
<br />
<br />~Mr,o'/- f;;;
<br />rOc I ~ l".
<br />;)31. BLOCK 0
<br />...rf1YY)..2.3>10
<br />
<br />PHONE 81 ~ - ? & 9 - 5".;;>'7 '7
<br />
<br />OWNER'S NAME fA$' I/o mE
<br />
<br />JOB ADDRESS
<br />
<br />LEGAL DESCRIPTION: LOT(S)
<br />PARCEL 10 # 63 '2~'" 2J -
<br />
<br />SUBDIVISION Git.i1r./o ~It'k. %.v,vi-l.""~J
<br />
<br />(OBTAIN FROM PROPERTY.TAX NOTICE)
<br />
<br />WORK PROPSED: )QNEW CONSTRUCTION
<br />OSIGN
<br />
<br />o ADDITION
<br />
<br />o ALTERATION
<br />
<br />o REPAIR
<br />
<br />o INSTALL
<br />
<br />PROPOSED USE: OSGL FAMILY DWELLING
<br />o COMMERCIAL
<br />
<br />o MOVE
<br />
<br />. t5Ci 'To w...hl o.-n ",.5
<br />~.-MYL'fI PMHL'f
<br />
<br />o DEMOLISH
<br />
<br />o INDUSTRIAL
<br />
<br />0# OF UNITS
<br />o SWIMMING POOL
<br />
<br />o MOBILE HOM
<br />o OTHER
<br />
<br />c:J RESTAURANT & HEALTH DEPARTMENT APpROVAL
<br />DESCRIPTION OF WORK 10 W;VftomE! a1 ~ f!}ar-h n i tu.e
<br />BUILDING SIZE SQUARE FOOTAGE J 1ot03 HEIGHT c)l \ I
<br />
<br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
<br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
<br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
<br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
<br />
<br />PERMITS REQUESTED
<br />
<br />~ BUILDING
<br />
<br />$!flI,gQ,!L.
<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 />o GAS
<br />
<br />o ROOFING
<br />
<br />$ 3\,.;00,1 r
<br />
<br />o SPECIALTY
<br />
<br />VALUATION OF 'MECHANCIAL INSTALLATION
<br />o OTHER
<br />
<br />TYPE OF CONSTRUCTION: at 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 />~r""'I'"C""lr"'''''-'~ ,,",." c ..,- "'1'''''" ..
<br />","" '"", , 'I I' ",,". "."..,....," ',' I'''' .... ,. "...- .-. -. -.. - 'j"-II ,. ',"1 " "," ,.. , 'I ' .... "'" -,' "''''11' ""n"'I"I'jll
<br />III I 'I Y II 'I , I" 'I l 'I) I, I r I I II'il' I I Iii , I' . 'III I I' [' I ill' I I I '! I 11~1 II ' 'I '
<br />~lir~I"~ ,~:,,:i',i" '&' : " : ,I ,;"'1"'" ' ',~:"':i ," ,'," " I ., ' " " I, I I: I' ' : ,I''''' ':,':" ,: ,',,' "I" " '"':':," II,' ", '",1':'", ,,','::: \1 ,,/;~::,,(,i;l)'I!'::!A;:'.;,1
<br />~""_L _~ ." "'__._~~~ _ ~ _..l,_..J._.."_.~.~. ~l_____ . . __.. ___.__... .' . .. __ . . __".."~""..L~1C;'.l.! c., L.:.__.cC. _L.u~L..:""l "::1:..u"_l=~bL,',
<br />
<br />BUILDER ~ / COMPANY US ;/omt: Chl~-LEN/V/I/Z-
<br />SIGNA;URE / l;t;{4 E . STATE CERT OR REGIST * CO C I ;; 5;:J. 'I ::U,
<br />,~ ~*****************************************************************
<br />
<br />ELECTRICI~ ~
<br />SIGNATURE
<br />******************************************************************
<br />
<br />COMPANY ..:TI3C C(.JFC"f~1 G ar ;;'mjO~
<br />.
<br />
<br />STATE CERT OR REGIST # EC /300 I B 8 b
<br />
<br />MECHANICAL
<br />
<br />
<br />SIGNATURE
<br />
<br />COMPANY llt<fHi//{. S'd/(.-EP7I'J,v
<br />STATE CERT OR REG 1ST # ere 0 lJ / ? ~ /
<br />
<br />PLUMBER
<br />
<br />*********************************************
<br />COMPANY A ..S,E~/III/t/- SrOA/(F
<br />
<br />STATE CERT OR REGIS'r # C/?COSoi.//O
<br />
<br />*****************************************************************
<br />
<br />OTHER
<br />
<br />r<oo~
<br />
<br />SIGNATURE V // .
<br />
<br />COMPANV C. S-ret</-/It/6-
<br />STATE CERT' OR REGIST # C ceo 5199 /
<br />
|