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<br />CITY OF It:i.l!i.t'n .I.~n.1..LI.LIi:) ~.I:I.EU.~.&..&. ~...... ........-.,.- - ---
<br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542
<br />813-780-0020 FAX: 813-780-0021 -1Q...111 J 6 c;.,
<br />DA'l~E RECE IVED
<br />
<br />PHONE GONTACT FOR PERMITTING ~/3-7 fJ-()b 7?
<br />
<br />OWNER' S NAME~_j:)~\{"'-Le ~ Rc b; 1'\ b v.... n V'
<br />JOB ADDRESS&?Id../ ICj~ 'Sf. Z-€-i)~\.-Irl,....'l t l)
<br />F I
<br />
<br />PHONE Sf 3 -7 /~- Lf7D
<br />Fe 3~S-l.(:L
<br />
<br />LEGAL DESCRIPTION: LOT (S) 3lo BLOCK SUBDIVISION
<br />PARCEL 10 # 0;;1. ~ to;)../ dlCf (j 00<:)00 03 ~'t'l (OBTAIN FROM PROPERTYTAX NOTICE\
<br />
<br />WORK PROPSED: ~NEW CONSTRUCTION
<br />OSIGN
<br />
<br />o ADDITION
<br />o MOVE
<br />
<br />OALTERATION
<br />
<br />[J REPAIR
<br />
<br />o INSTALL
<br />
<br />o DEMOLISH
<br />
<br />PROPOSED USE: OSGL FAMILY DWELLING
<br />o COMMERCIAL
<br />
<br />OMULTI-FAMILY
<br />o INDUSTRIAL
<br />
<br />0# OF UNITS
<br />o SWIMMING POOL
<br />
<br />o MOBILE HOM
<br />~OTHER
<br />
<br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
<br />DESCRIPTION OF WORK De+tLc....he ~
<br />BUILDING SIZE ~ Y. 'd--.4:-
<br />
<br />Qe vwen.-t ~\Oc.k.. 0(.LV'GL-S~
<br />SQUARE FOOTAGE 5 7 Ie:,
<br />
<br />HEIGHT
<br />
<br />S?' 'wo.-l( S
<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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
<br />PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION.
<br />
<br />AMP SERVICE
<br />
<br />~~C>~s ,t-.\~-r CPfJ\i>L~t
<br />
<br />L~rrrH s~~~~
<br />\/M} ~ A?a~"@')
<br />TOTAL CONSTRUCTION IC';;/:c~
<br />
<br />Progress Energy 0 W.R.E.C.
<br />
<br />~ BUILDING
<br />~ ELECTRI CAL
<br />o PLUMBING
<br />o MECHANICAL
<br />
<br />PERMITS REQUESTED
<br />a.. ~ d-.O <:) ,o~ VALUATION OF
<br />I
<br />
<br />$
<br />
<br />I 00
<br />
<br />o
<br />
<br />$
<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: ~ BLOCK
<br />FINISHED FLOOR ELEVATIONS
<br />
<br />o FRAME
<br />
<br />o STEEL
<br />
<br />o OTHER
<br />
<br />IS PROJECT IN FLOOD ZONE AREAO YES
<br />
<br />o NO
<br />
<br />_=-'~'-"~f"---'~~"""-= ------. '-'~-"r 1--- -------~~- .. --- - ---.---- .-- -----, -, ---.-, ,--=-=""",=
<br />",,1",1" ,I ",.1","'1' "~',I, ~,I', 'i:., ,', I !' ':" 1, .1,,:,':;,"I(I'IIIjJj}'jil';1j;-1jjl:~I'1-,iffi:ij~f'
<br />II Illf1i"1l ,PIT I . j I I II I , I II I ,,[1 I ~ ,I I 't, j'?1l111'f ~-I'~~~~!',.,";~if,!Hilil
<br />~~~~~~~:..JL~_~_________________--- __ _ _____~~L~~~I ,,1 ' IIi" 4]11 1",1 T l! IrHI3,1~'
<br />
<br />SIGNATURE
<br />
<br />.;LL.2~
<br />
<br />1
<br />
<br />COMPANY']e~ ~V'~ ~k ~ A-s~oc, L.."'-L.
<br />STATE CERT OR REGIST # CEzC Olf 3 Lf~';)...
<br />
<br />BUILDER
<br />
<br />******************************************************************
<br />
<br />
<br />COMPANY_~V'+'\"'- E \e<--tv~c:... l",-,c-.
<br />STATE CERT OR REGIST # GL.13 DO 13 X~
<br />
<br />*******************************************************
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<br />PLUMBER
<br />
<br />COMPANY
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<br />SIGNATURE
<br />
<br />STATE CERT OR REGIST #
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<br />
<br />MIllCHANICAL
<br />
<br />COMPANY
<br />
<br />SIGNATURE
<br />
<br />STATE CERT OR REGIST #
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<br />*****************************************************************
<br />
<br />OTHER
<br />
<br />COMPANY
<br />
<br />SIGNATURE
<br />
<br />STATE CERT OR REGIST #
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