Laserfiche WebLink
<br />OWNER'S NAME ]];.:~~'i- \.S 21..:..1;,1- ,f (VA" A <br />JOB ADDRESS ~"""___~ \~~ <br />LEGAL DESCRIPTION: LOT(S)~Q~~LOCK <br />PARCEL I D # 1J ~~ \-5""rl. \; \'-. i0 \ \S-.() d, ~ \) C)l'"\ () ~ a <br /> <br />~:k <br />y<! '1U <br />APPLICATION FOR PERMIT d-- q~ 0. > f '7../ \.oj 3 <br />CITY OF ZEPHYRHILLS q 3" i / !:J 'JyJ}( ~0 ,- J Q -9 V <br />BUILDING DEPARTMENT q J '1 ~ATE RECEIVED -.5 - / <br />y).1- PLANS REVIEW FEE <br /> <br />,'. <br />PHONE 813 .... g 7 9- I 3 6 ? <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />~ALTERATION <br />o DEMOLI SH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />KCOMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />~~ ~ ~QN~ <br />v r' <br />SQUARE FOOTAGE ~\~ 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 /> PERMITS REQUESTED <br />F BUILDING $ .1~ non VALUATION OF TOTAL CONSTRUCTION <br /> , <br />g( ELECTRICAL ~\~ AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. <br /> , <br />... PLUMBING <br />o MECHANICAL $ Alif VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION:)a' BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />rllt <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />~ <br />BUILDER.......... <br /> <br />SIGNATURE. . <br /> <br />COMPANY <br />STATE CERT OR REGIST # C. 6, c: 0 ~ 7 B (~ <br />CITY PROCESSING # ~,?>I U <br /> <br />V' <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />Jioo J. JLJJ <br />( . . <br /> <br />...........................,.............................~ <br /> <br /> <br />COMPANY i <br />STATE CERT OR REGIA # <br />CITY PROCESSING # <br /> <br />COMPANY!~A.~ ~4f <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # )__ 3 R-tJ <br /> <br />~ <br /> <br />ELECTRICIAN <br /> <br />v <br /> <br />.1 <br /> <br />,/ <br /> <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />)( <br /> <br />* ***********(;** <br />COMPANY <br /> <br /> <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />