Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />C:;~ )Ic-l4 W PHONE <br /> <br />BLOCK SUBDIVISION <br /> <br />OWNER'S NAME ~-?,>;r <- <br />JOB ADDRESS ~ D J q{ <br /> <br />PARCEL ID # :;2 '1- J6 -d./- ~ () 0 0- (9 OJ tJ 0 <br /> <br />'-// <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATI ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />\ <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~ILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />M/LK .!:J1d d / <br />, <br /> <br />y'Lk-yro <br />, ,/ <br /> <br />SQUARE FOOTAGE <br /> <br />'fRU <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <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 /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY L< _. ~ <br />~ STATE CERT OR -~IST # <br />(c1/~A2 CITY PROCESSING # .71 g- <br /> <br />****************************************************************** <br /> <br /> <br />BUILDER <br /> <br />t/ <br /> <br />ELECTRICIAN <br />SIGNATURE ti/~.. .a~ <br /> <br />COMPANY H~ <::::..- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # / r? <br /> <br />t./ <br /> <br />PLUMBER <br /> <br />********************************************~~******* ************ <br /> <br /> <br />COMPANY .~ <br />~/1 7 STATE CERT OR EGIST # <br />GJ ~-<-- - -7~ CITY PROCESSING # S/~ <br /> <br />********************************************~~************* <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />/' <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />cJ~ <br /> <br /> <br />is <br /> <br />/ <br /> <br />************************************************ <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />