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<br />.., <br />i)u,lJ 9- lot <br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIiLDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 ~-~j7-~/- <br />DATE RECEIVED r <br /> <br />PHONE CONTACT li'OR PERMITTING (8/3) roC;o -18 8S' <br /> <br />OWNER'S NAME fA S' /10m e 01 it,t-Wlrt 1'/ 0 r/ - leA/Ai At2... <br />JOB ADDRESS l!~be.r\pane <br />LEGAL DESCRI PTION: LOT (S) d-3 1 BLOCK cp <br />PARCEL 10 # 03. 'J~" d J - - D/.X:fX) - :2 31 D <br /> <br />PHONE 81~ - ?~9 - 5..;;>r;') <br /> <br />SUBDIVISION GiLi-It</P /jtt'J:. "";<v-Vi-lDrI1~;S <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />WORK PROPSED: )(:I'NEW CONSTRUCTION <br />OSIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />''t';d '\ow,'Jilo,lIE..$ <br />PROPOSED USE: DSGL FAMILY DWELLING pM9L'fI fMUL't <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,Vf/omFS <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br />Mode.' Sf " Croj)C <br /> <br />SQUARE FOOTAGE l3q 2- <br /> <br />HEIGHT <br /> <br />~ <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. <br /> <br />~ BUILDING <br /> <br />PERMITS REQUESTED <br />P 3) 5 20~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />$ <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,,300 I -- <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: 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 /> <br />::::::RE ~h <br />/' " <br />/ <br /> <br />COMPANY tiS I/omc al~-LEN/V/I/Z- <br />STATE CERT OR REGIST # CB C 1'::( 5;2 <! ::2" <br /> <br />/ <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN ~~~ <br />SIGNATURE <br />****************************************************************** <br /> <br />COMPANY .:TI3C ca=-C'''~/ G (){= '/;,m,.P"1 <br />STATE CERT OR REGIST # EC /300 I B 8 b <br /> <br />PLUMBER ~ff COMPANY #1<.1'11(11(, S'UlLEH7I'J~ <br /> <br />SIGNATU~.-/'/~F - STATE CERT OR REGIST * ere Ol/J?~J <br /> <br />~*~* * * * *. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *.* <br />MECHANICAL ~. /' '~ COMPANY A SrEjO/II//C:- SrOA/& <br /> <br />SIGNATURE ~ L STATE CERT OR REGIST # C r; CoSo 1.//0 <br />./ - <br /> <br />***************************************************************** <br /> <br />::::TUR:;~~/ <br /> <br />COMPANY C. S-rf?t<I-/N6- <br />STATE CERT' OR REGIST ,# Ccc05?9Q / <br />