Laserfiche WebLink
<br />APPLICATION FOR PEmaT <br />CITY OF ZBPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />"'I>j._~,~:;l"";; <br /> <br />DAD lUl:CEZWD <br />PLANS RBVIBW I'D <br /> <br />...., , <br /> <br /> <br /> <br />PHONE 1 f~ ~ 0\ l~ <br /> <br />JOB ADDRESS <br /> <br />..'r"'- t . <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # -..!l- ~lo - ;).1-00\ i) - 0, SVO . OD,D <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEI <br />. ~ t :,J.'# <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />DSIGN <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL .~: <br />IL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />.. ~ ~ \ ~ <br />o ~OBILE HP~ <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D <br />~~y,!> 0 ...5~ <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />A-l'^O~ <br />SQUARE FOOTAGE <br /> <br />:':,1'1 <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~S./ <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$--.1. '500, r- <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />i J \ ,(: <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />.; I <br /> <br />1" <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />t ~ <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />"("; <br />IS PROJECT IN FLOOD ZONE AREAD YES ' 0 NO <br /> <br /> <br />It.): .:.;, <br /> <br />BU:ILDER <br /> <br />~SJ, 'i/?O~":nl :';';" <br />COMPANY ~", , ' .....(.: <br />STATE CERT OR REGIST # /UP!; , ~~..3 '. . , . <br />CITY PROCESSING # ~ jz. ~7-. i '- "i <br /> <br />****************************************************************** <br /> <br />-i r <br /> <br />, .f ;," <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />, '1'" '~) <br /> <br />SIGNATURE <br /> <br />..,;.. " ".. ;. i, ."~'i'."'- <br /> <br />MB:CHANICAL <br /> <br />**********~******************************************************* <br /> <br />.. -'r <br /> <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />. ~ ~- r <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 />