Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br />~~e~-\-\c Cb-ks <br />37'S" \ LaC)(~\ Va\l~ ~\vd <br /> <br />BLOCK <br /> <br />1. -4 r- /2- to -'- L \ - 00 30 - Ot)ODO <br /> <br />~W CONSTRUCTION <br /> <br />PHONE?05- 6<)2 ~S7) Z <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: <br /> <br />DADDITION <br /> <br />DALTERATION <br /> <br />DREPAIR <br /> <br />D INSTALL <br /> <br />D SIGN <br /> <br />DMOVE <br /> <br />D DEMOLI SH <br /> <br />\ <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />D COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />DMOBILE HOME <br />DOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o <br />8x \1... <br />gxl'L <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br /><.t.Jood <:0.-\0 re, r '0 \dl If <br /> <br />SQUARE FOOTAGE ~b <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~LDING <br />~LECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />'LlOO <br />j!){) <br /> <br />VALUATION OF )9TAL CONSTRUCTION <br />AMP SERVICE ~ FLORIDA POWER D <br /> <br />W.R.E.C. <br /> <br />D PLUMBING <br /> <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <; <: &.> T <)-'( <:J vr11!.... ( 0...... ') <br />STATE CERT OR REGIST # C'13 - (037 -z. Sr <br />CITY PROCESSING # '2 Y L; C; - C.EIf/ <br /> <br />BUILDER <br /> <br />***.***************************************~.:.*~~~ <br /> <br /> <br /> <br />~LECTRXCI~~ COMPANY' <br />-/.. STATE CERT OR REGIST # <br />SIGNATURE. < . ... ~ CITY PROCESSING # /70 <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** *** * * * * * * <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />