HomeMy WebLinkAbout91-1803
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit N~
1803A
Type of Permit
0UILD'~ -~ ~G ME~l
Properly Owners Name: . O~:4:~ //0 j!/u>,,~
Job Address: ~S/;J ,-9
Date 9 - tflS- - 9 I
Legal Description:
Sub.Div.
Lot
Blk.
Zoning CI:
Description of Work
t::i!Jf~ -- ~ - 0 Z
- --~ --lAA-U--h r
~~
Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
/1
r~ r;}~
\.})l\\(
Estimated Cost: c2 5...... /?7J. o-u
'"
Fee: / .yo. crt)
SIGNATUREL,..)~: cJ~
COMPANY
All work shall be performed in accordance
with the above and all City Codes
and Ordinances,
Ftr.
Pre SLB
Lintel
FRM.
Insul.CL
WL
SLB
Tub Set
Water
Sewer
Final
Tp.Serv.
Rough In
Meter Can
Const. Pole
POOl
Pre-Meter
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 ($10.00)
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.
J__,
APPLICATION FOR PERI-lIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
{i~
'I
APPLICANT
f'i~
ADDRESS
OWNER ~/14~
JOB LOCATION (; ,l,( ~
.:>' ": " .,
PHONE
"
~_f2Il '/1-trl
LOT SIZE
x
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
PARCEL I.D.~~ :J.... db - ;;1-(
BLOCK
SUBDIVISION
WORK PROPOSED: ~New Construction ____Addition ----Alteration ____Hepair ____Install
____Sign/Temp.
____Sign
____~Iove
____Demolish
PROPOSED USE: ____Single Family
~ommercial
~/F
_f~ of L1ni ts
.._M/H
--.:..-Indus t .
_Swim., Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~lS.**
**COPY OF CONTRACT REQUIRED.
L.--""'"
_BUILDING
PERM1TS REOUESTED
$ :53 d.. I b 7b. (TV Valuation of Total Construction
~
~ELECTRtCAL
L..../ MECHANI CAL
~ .
_PLUMBING
AMP Service
Florida Power Corp.
_W.R.E.C.
$
Valuation of Mechanical Installation
G,AS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block
____Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
BUTLDER 13 ~ J.
Signature l :Jf'1--^^L-
,
********************************~*~~O~ ~
IJ1 CONTRACTOR SE~lf~N...h, ~. /' ,~ ~
o-YLQ. 'Company ,Iff . (.-0. , ,
;J State Cert. or Regist. il
~~g_____ ' City License Registration il ...?;;.z.<../
** ******************************~~~v*~*vv
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J
PLUMBER
Company ,R,f'"L/lT.t' IJ EL t"CT,f\ J C...-TN C.
State Cert. or Hegist. il !?/?,cCo9lJ69
City License Regis.tration i~ .:l.;t.;2..
******************************************
Company , 0 ,,,,,f =:t~..yyL4-
State Cert. or Reg:Lst. ;,!
City License Regis tra tion il /,=5 Y
******************************************
Signature
l1..EiJiAN1CAL
Signa ture ,-,'1'1~~
CompanyT6.. '/ /0 f/' ti,V' Co 1-1 J ,-It-a Y1 (n t:f
0._' State Cert. or Regist. ii-I2lt-cOl-ff.olrt5J
~ City License Registration it /04
~~.....*****.*****************************
_...:......~;::.::..-..=:~-:::.=,~:---:--~-=~~...,.,~-','-
SIGNATURE
----------------------------------
OWNER OR AGENT
,/
DATE
---- -----------------------------.-------
NOTARY AS TO
OWNER OR AGENT
-----------------------------
MY COMMISSION EXPIRES
----------------------
I
SIGNATUREiJ.~~
DATE___~~-~-~1--LjC~-1-~-----
NOTARY~-' I \ j/JII r,),..'<
CONT~A TOR_f~-~f~~=~~ll---
MY COMMISSIO E PlRES________---~-~~~--
NOTAR)' PUBLlC. STATE OF FLORiDA.
r:iY COIl1l.IISSI0N EXPIRES: JAN. :28. 199:C.
BONQED THRU NO'rARY PUBLIC UNOERWRITEftGJ