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<br />~.. <br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIrING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 ' G .-,/ <br />,I DATE RECEIVED &"';;; /-~ <br /> <br />I PHONE CONTACT FOR PERMITTING (8/3) roC;o -18 8S' <br /> <br />U~ )jomE c,~Mr,orl- ~NA-e. <br />A Ora J~f\ (( <br />233 BLOCK 95 <br />- OC1::/tJ.. Z~ <br /> <br />PHONE 81~ - ?~9 - 5..;;>r;'] <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRE S S <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION GiLi-It</P ~;t'J:. "";<"'VI'/orl1~.s <br /> <br />PARCEL 10 # 6 3~ Zlo~ ZI- <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />WORK PROPSED: )d'NEW CONSTRUCTION <br />OSIGN <br /> <br />DADOITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />'l"iZi '\Ow,oJilo.lIE..$ <br />P-WULfi PM1ILY <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 /> <br />DESCRIPTION OF WORK '/0 wiVf/omFS Mcxie1 S' 'e~-hL 'Key <br />" L'2.. "" <br />BUILDING SIZE SQUARE FOOTAGE ~ HEIGHT ~ <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 />$-39,7;0. C;;Q <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />II Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ 3\~C)(Y. / <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: OJ 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 /> <br />~lpr7'r...~!U.qr(I'"I'"';!,,''';~f[l''I~-''' - r IM...'t.....,.,...1"1~Tr~I~~"r.-rrl-..'..,I...t Ir 1---- _'_~~_~r ~..._---~ - -~-----~ - - 'lJ"~'II'lr 1"1"-'~I'~lr"" 1"'[' '. ,,'1 "I'I'~I' '')'11"'" '-I!'-;;:y,V.I1\lrTljl' <br />IIIIJI:~"II":r:f~\fll/1 i,II,IIII;I'1 ;11 1:11'1 '\II'!r ,\111 "r,lI, Ill: II....:I:~ 1 1J ' l, I II II! 1'1'llr:,I:I'/I-I'J:IIII~, )1'~"illl'lhjl:!JlI111\1 ~~I:lljl 1')I\'j'I:I,ltll,JlI\;'li'/'~jl,1 <br /> <br />l~~lli~~~lli~~ II_i~~~'.Jl' ~ull~r ~j ~~ i~.J. _...1 _' ~~l.- ~.L___ __ ___ ~____ __~~~~_~_ _~ _ _ _ __ _L~ ~'j~&~~i ~u~rrL.~~_!1~.LIL1....:.:2-l~_~~LdU;j~~~ili <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY tiS I/omc (},/'C...r- LENIV/lIL <br />STATE CERT OR REGIS! # CO C I ;; 5;l c;:J.1a <br /> <br />BUILDER <br /> <br />*****************************************************~,************ <br /> <br />ELECTRICIAN d d ~ COMPANY ;;T'/3C cacc',"/ {. ai' /ri""I"'i <br />SIGNATURE~ STATE CERT OR REGIST * EC /300/B8b <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />~>~ <br />/// ' <br /> <br />~u;/.. <br />../ <br />./ <br /> <br />COMPANY 1l~.fll(/It.. S'c#LEP7"~ <br />STATE CERT OR REGIST # ere 0 l./ / ? ~ I <br /> <br />SIGNATURE <br /> <br />//' <br />MECHANICAL <br /> <br /> <br />********************************************** <br />COMPANY A SrEjO~/l/I(/- SroviF' <br /> <br />STATE CERT OR REGIST # C I'l CoSO <//0 <br /> <br />***************************************************************** <br /> <br />OTHER 1<0 O('IN~ <br />SIGNATURE ~~ ~ <br />/ <br /> <br />COMPANY C. S-ret<'-IIt/6- <br />STATE CERT' OR REG~ST # CC C- 0 5199/ <br />