HomeMy WebLinkAbout95-4741
BUILDING PERMIT
Permit ~
CITY OF ZEPHYRHILLS
(813) 788-6611
4741~E
Date d -...3 - 9-.5-
BUILDING
E-~~-~
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Job Address:
Parcell.D, #
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
~ Energy Code: ~ Radon Gas:
t ~-:t-/.;; J 4/jM a:t ~~ Q
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
3-::E-Cf.
DATE
Complete Plans. Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances,
DATE
Inspector
Permit F~e ~. Vz/
Signature~A~
Company
Address
Telephone#
Valuation or ~ /A-
Contract Price // ,
City License Registration # J- ,f-'f
State Certified License#
BUILDING
~1,) .at:::. !lI tyltY:'L17
. , U
ELECTRICAL PLUMBING
MECHANICAL
Tp. Servo
Rough In
Meter Ca,.....;'::3 -7~
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Breakers
Ducts Insi.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
.7
..
APPLICATION FOR PERNIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
_u'ANT -.)(lncllJ DevcdDenlfrll 00,) III ( .
ADDRESS I J. 103 ll.S
OWNER Lllk. '0 Ull ~Tfu
JOB LOCATION 3'J70( ,- 377 II
PHONE q(y./'.)67- 79YJ-
LOT SIZE_X
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D. #
WORK PROPOSED:LNew Construction _Addition _Alteration _Repair _Install
_Sign/Temp.
_Sign
_Move
_Demolish
PROPOSED USE: _Single Family
---1-M/F
~# of Units
._N/H
_Commercial
_Indust.
_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 FORNS.**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
~BUILDING
$
Valuation of Total Construction
~ELECTRICAL
AMP Service
Florida Power Corp.
_\-l.R.E.C.
-lL-MECHANICAL
$
Valuation of Mechanical Installation
-LPLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block
_Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
I (Ie
- "',.
Signatur
City License Registration
******************************************
::~ Company ~Io, 'j;"U\ [ledric (""\g;n~.!; ~
~~ ~ State Cert. r Regist. II ceo ~g ~. EI
.-. - City License Registration # :lR-Lf
.~~~ ..it-*-*-~ * * *** ** **** * * * * * ,\-* ,\-1, * 1, * * * 1, *.., oj,
.---.....-....
Registration ,----..... 9'/
~
Signa
--- State Cert. or Regist. iF
City License Registration #
******************************************
-
11-
i::=--.
OTHER
Company
State Cert. or Regist. #
City License Registration iF
Signature
******************************************
APPLICATION APPROVED BY
PERt-lIT OFFICER.