Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZBPHYRHILLS <br />BUILDING DSPARTImNT <br /> <br />DATE DCBIWD /- ;;2.t,'-Ot/' <br />PLANS RBVIBIf I'D: <br /> <br /> <br />/,.'.' ,'-, "'~'" <br /> <br />~~i13-7~ -/~,/t:.-/) <br /> <br />OWNER'S NAMEq//LkrJ /Io1J~r<:;d)1 <br />JOB ADDRESS 7? (J /TI' Y'C cl <br />LEGAL DESCRIPTION: LOT (S),Rt0 f~, ff7 BLOCK <br />PARCEL ID # <br /> <br />SUBDIVISION ...:5~d!~ 77& <br />(OBTAIN FROM PROPERTY TAX NOTrtV~ <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />)?J INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />j2I OTHER <br />If, VA /J!J;Ti~n <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />4/2 ( ( t"'7 D <br />DESCRIPTION OF WORKVJ/ //#/J \ i7-re....~ /JtUA1 <br />p <br />BUILDING SIZE vJ? X :1 oJ~<i? ~ <br /> <br />'-t <br /> <br />-<jX fJ ~--1lJ <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT 'iff!. .)/.~ <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 />~j /J , /I'1vtq.-r<4'~ <br />' , ~; ~~,:./~~. 't' <br />/ /' <br />1..".' <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ ;>tJ';;, jf;';-f 5u 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 />o MECHANICAL <br /> <br />$ <br /> <br />DGAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDU <br /> <br />~~'~ ~);l/~ <br />SIGNATURE v.. ~ .A /:T-C' _ <br /> <br />COMPANY (1)~J?J..LA) <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />BLBCTlUCIAN <br /> <br />SIGNATURE <br /> <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY' <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />**********~******************************************************* <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTBBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />