Laserfiche WebLink
<br />JOB ADDRESS <br /> <br /> <br />I " \ \ <br />APPLI~AT..;rC'".:I" FOR PEBMITi ("'\ \\e\~ : <br />CITY OF ZEPHYRHILLS ,., \Q;V ~ . z I ~6 <br />BUILDING DEPARTMENT l U:.... ;;DATE RECEIVED ... ~ . <br />~/ PLANS REVIEW FEE <br />q73'-Z~57 <br />'5 <67 - W0 Z. z__ <br /> <br />~h1s0AME <br /> <br />d- <br /> <br />me lDsLtPHONE. <br /> <br />LEGAL DESCRIPTION: LOT(S) ~ Li <br />'D3-2G-LI <br /> <br />WORK PROPSED:~W CONSTRUCTION <br /> <br />PARCEL ID # <br /> <br />BLOCK owou SUBDIVISION <br />- 0 LUD -00000 02L/o (OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />J Iv;E,r, OA-ls <br /> <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED <br /> <br />Os I GN <br />USE:~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />OMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />. ~ l.. 1+ YY\ ~c\ . HOM ~ J <br />t..;1 2J ii-r <br />SQUARE FOOTAGE Jo16 150, HEIGHT <br />CU pi <br />PLANS & (2) SETS OF _UILDING PLANS & (1) SET ENERGY FORMS. <br />OF BUILDING PLANS & ) SET ENERGY FORMS. <br />REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />~BUILDING $ <br />~ELECTRICAL <br />~ PLUMBING <br />~ECHANICAL $ <br />o GAS ~ROOFING <br /> <br />PERMITS REQUESTED <br />:>4 POc) <br /> <br />, <br /> <br />U\o <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~ <br /> <br />FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />dJ.eOO <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />~RAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES )( NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />F~upe.., Z~\ T ~ <br />,. ~. -(X)OD SCo<C <br />I . 7- t( <br /> <br />*******************************************************7***:****** p . <br /> <br />~ci ul~ COMPANY ~tJ,-JJC) t..\J0\ I),,~) (()mbn0j <br /> <br />-' r . ~ STATE CERT OR REGIST #. t ~ D S Lloo <br />. CITY PROCESSING # , ~7_0 <br /> <br />'1~ Q,~ <br /> <br />COMPANy~ph;~ <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />***********,************* ******* ************* ***.0**'**'**** **:11** s ?....... <br />MECHANICAL ~ COMPANY I.: 0 0 1\ · ,.. '2-, ::r "- "'\ <br />_ STATE CERT OR REGIST # e.. C-o .,.. II S <br />SIGNATURE -2 ~ CITY PROCESSING # t-.., [J Cl17<( I <br /> <br />OTHER <br /> <br />********************************************************k******** <br /> <br /> <br /> <br />~~* <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />V~<I <br /> <br />C~~~vcf,u'r-' <br /># C ~C-OS~ ICf? <br />55 <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />