Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPAR~~NT <br /> <br />,/.2- Q _C ~ <br />DATE RECEJ:VED _ L -'- _ <br />PLANS REVIEW I'D <br /> <br />OWNER'S NAME~<Y"&70 ~.lj1 <br /> <br />JOB ADDRESS t) I -~ I ,? ti. Z:;.j. <br /> <br />PHONE 7/ S-" () 10 P () <br /> <br />~~~:. LO'l'(S) BLOCK SUBDIVISION <br />~RCEL I~, W ~ //-ctl b - r::2/-0o/D --DVID -c?D.;2~OBTAIN FROM PROPERTY TAX NOTICEl <br />o WORK PROPSED: %NEW CONSTRUCTION 0 ADDrl'ION DALTERATION 0 REPAIR D INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: []SGL F'AMILY DWELLING <br />[] COMMERCIAL <br /> <br />[]MUL'l'I-FAMI LY <br />[] INDUSTRIAL <br /> <br />[]It OF UNITS <br />[] SWIMMING POOL <br /> <br />[] MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF' WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />SlJ v..,r)~ <br />:!Eu I ~~ SQUARE FOOTAGE <br /> <br />~l~d <br /> <br />~/?/J!r <br />~ <br /> <br />W HEIGHT <br /> <br />Ja f <br />. <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (21 PLOT PLANS & (2) SETS OF BUILDING PLANS & (11 SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED F'OR ALL NEW CONSTRUCTION. <br /> <br />If1 BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />'V <br />..c-o-d ~ <br />......:> ... 00 <br />~5&~ <br /> <br />PERMITS REQUESTED <br /> <br />VAI,UATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />D 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 />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />~ F'RAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />f8J NO <br /> <br /> <br />"~lf"""11moR;~sjr:""" <br />hdqt-.l~Mi,j'I'U""" ".'~".' "'~ <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRJ:CJ:AN <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING ff <br /> <br />SIGNATURE <br /> <br />**************~*************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />**********~******************************************************* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />J fl <br /> <br />~~,'~~""""""""""~~:;::'~':~:::~'.. <br /> <br />? STATE CERT OR REGIST # <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />