Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />(ftlli. ~ <br />lJ2.,I'o~TE RECEIVED 9- tf20<:I99 <br /> <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAMEC!,R(J{1CO roh u fto~d 7tg'A -+15'4- <br />I <br />JOB ADDREss38'Y'Og L5?:...... 4Ue. ZelJhYRA/Jl5. PL. J"364-CJ <br />:to I oa-tee-r /) <br />LEGAL DESCRIPTION: LOT(S) 4} 5; b }i.o'r 7, BLOCK /74 SUBDIVISION~il7 oJ. 2'el/'yp.hl'lIs <br />PARCEL ID # / / ~ b ~ I 00 I 0 / ? ~ (J 00 d I- 0 <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[JADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br />[JALTERATION [J REPAIR ~ INSTALL <br /> <br />[J SIGN <br /> <br />[JMOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />~SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK :rI.JFi~JI t:'ibt:"kfJiK<; /a(jL <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (11 SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (11 SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />[J BUILDING <br /> <br />$ <6;I?O.oo <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[J PLUMBING <br /> <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />)tJ OTHER F I ~ ~tf 7/fffiS fbo l <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONEAREA[J YES [J NO <br /> <br /> <br />f!?7d2.- <br /> <br />it:i:i:i:H+EUIli:H <br /> <br />COMPANyt3t;'t;"7:r:ll)::'j"1~{"~""""""""""'j'j""'" <br /> <br />STATE CERT OR REGIST # GPO 6 ?'9-S <br />CITY PROCESSING # ~l? <br /> <br />ELBCTRICIAH ~ <br />SIGNATUREI 4 '. <br /> <br />PLUMBER <br /> <br /> <br />s- <br /> <br />MECHANICAL <br /> <br />************************************************* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />*********************************************************.~******* <br />