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<br />CIrr'Y OF :6J!jt'n~~n..L.u.....~ ... .....~-- - --- --- <br />BUIILDING DEPARTMENT 5335 B~H st, Zephyrhills, FL 33542 <br />.813-780-0020 FAX:B13-780-0021 <br /> <br />DATE RECEIVED <br /> <br />d -~ --D~ <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />OWNER' S NAM~ ~ h.1 &ji ~jfi./I;32/e,~(c!y <br />JOB ADDRESS . .~ 9;~~4- S('Ju.i.; Au ( . <br /> <br />J::J/~rJJ PHONE ft1,'7~,R- ~&Y <br />L -ep ~ ..:.,/~,I/( <br />I' . <br />SUBDIVISION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />C G I () -_' ~ ti t')I~' n -(JutJm)rAIN FROM PROPERTY TAX NOTICEl <br /> <br />PARCEL 10 it <br /> <br />/ .:S - ZG - Z-I <br /> <br />o ADDITION ~ALTERATION D REPAIR D INSTALL <br />o MOVE 0 DEMOLISH. <br />OMULTI -FAMILY Oft OF UNITS o MOBILE HO~ <br />" DOTHER <br />~NDUSTRIAL o SWIMMING POOL <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />o SIGN <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />BUILDING SIZE <br /> <br />(0 Au /If t' <br />~<;""o X 07) <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br /> <br />5a--r j~ i' e ki ' ?..- ;J k f ( <br />/. . <br />SQUARE FOOTAGE .d', rO.f) . <br /> <br />7-6 0 It"'" f <br />HEIGHT /2 I -I- <br /> <br />DESCRIPTION OF WORK <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 PERM~T 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 />PERMITS REQUESTED <br /> <br />/' Lf i <br /> <br />+' 6:J J// / <br /> <br />./ /' ...----'- // <br />~-----~ <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />D PLUMBING <br />D MECHAti/ICAL <br /> <br />'^OO <br /> <br />AMP SERVICE <br /> <br />lK" Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />D SPECIALTY <br /> <br />VALUATION OF'MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 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 AHEAD YES D NO <br /> <br />~22L -~ _~_~~=~~:_ _~~l~~-- . .... ;.. .~:. = _-T~~---~--,~ .~:=-='-: <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN ~ <br />SIGNATURE ~r. -,' f c--- <br /> <br />COMPANY Oqh.G-~ b~1\'UC TfVC. <br />STATE CERT OR REGIST ft \::.G-OOOJS'5""'J-. <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />***********************************~********~****~*************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST f <br />