HomeMy WebLinkAbout91-1508
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813- 788-6611
. /;.-. CJD, /". ..A-7',
Type of Permit _ ~ r:::,LV U ~
BUILDING GECTRIC~ PLUMBING 0ECHA~
Property Owners Name: ~ ~ ~ ~..:
Job Address: ---S 902......s - R-JL -#1--
Permit ,N'~
1508 /1
Date ....5:J--- I C) ~ 9' /
,
Legal Description:
Sub.Div.
Lot
Blk,
Zoning CI:
Description of Work
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JJ.P. J A;lc
D 0/ [)
---r~~~
()of-o()
,602 ()
Energy Code Readout:
7-1-7~1 ;$J
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost:
/ C;6~, ern
OCCUPATIONAL LICENSE # '/51'
Ak- ~J; .
,
Fee ~~
SIG~1\TUR ~-o.
COMPANY
ADDRESS
TELEPHONE #
'Y--
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances,
~~ J '~~ ~C4
ELECT~~~ ~ANI~~L y~
Tp,Serv,
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
'~G
P~
-
Ftr,
Pre SLB
Lintel
FRM,
Insul.CL
WL
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($IO'()())
dollars shall be made for each trip,
(a) Wrong Address
(b) Condemned work resulting from faulty construction
(c) Repairs or corrections not made when inspection called for
(d) Work not ready for inspection when called,
The payment of reinspection fees shall be made before any further permits will be issued to the person owning same,
APPLICATION FOR PERMIT
CITY OF ,ZEPHYRHILLS
BUILDING DEPARTMENT
"',
APPLICANT ---F".. 'hh It..oA>JU..~~L Ce~ )-~a-~S
ADDRESS 59023 ~~ ,~\
OWNER AJ12~ ~ rn V- A,)l)~A-~ ~~~c..~
JOB LOCATION ~~~ ~~ ~\
,
LEGAL DESCRIPTION: LOT(S) 3, L/, ~ ~ b BLOCK 1)'
PARCEL I.D.1~ II 'Z.c. "2.1 DO\D t>O~OO 003.0
PHONE
LOT SIZE_X
AREA SQ. FT.
Co (OAJ(
SUBDIVISION
ZH-
,t18 ,
~s4
WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~Install
____Sign/Temp.
____Sign
_Move
____Demolish
PROPOSED USE: ____Single Family
____M/F
____1# of Units
____M/H
____Commercial
____Indust.
____Swim. Pool
Other
----Restaurant &: Health Department Approval
BUILDING SIZE:
x
Square Feett
Height
RESIDENTIAL:
CmlMERCIAL :
ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORHS.**
**COPY OF CONTRACT REQUIRED.
PRRKITS REOUESTED
'.
____BUILDING
$
Valuation of Total Construction
____ELECTRICAL
AMP Service
Florida Power Corp.
_W.R.E.C.
_MECHANICAL
$ JqlnLJ,OD
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block
____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
CONTRACTORS
Builder
Company
Signature City License Registration #
*****************************************************************************************
~ ~ Company
Signature City License Registration #
************************************ ***************************************************
Plumber Company
Signature City License Registration #
********************,******************************~****************~******************
Hochao!cal &12 ~ Company -rM~n/I~ A.c)~~
Signatur~l~ ~ . City License Registration #
......................~.......... ..~....................................................
Other Company
Signature
City License Registration #
I Hereby certify that I have read and examined this application and know the same to be
true and correct. All provisions of law and ordinances governing this type of work will be
complied with whether specified herein or not,' the granting of a permit does not presume to
give aut 0 ty to viol ,or cel the provisions of any other state or local law
re ng co t perfo ma e of construction.
/o/.I~
;:~~ ~~-<1'
Signhture of 0 ler
,
. ~
S-tO-q,
Date
$-/D -? / Date
-'s{gn~d by the owner a~d notarized.