Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME \-..\ ~~~ \ e... . <br />JOB ADDRESS "3 <=\ ~ 4, \ <br /> <br />. <br /> <br />Hc..~U\S\e.. <br />it.l\t\e.d~ 1\\I.e, I <br /> <br />PHONE <br /> <br />"l<-~h~r hi..llS <br /> <br />I="L '33540 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL I D # l'l. 'llo . '2.. \. D1..<& o. DODD 0 . 0'500 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPRRTY TAX NOTTCRl <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />(J COMMERCIAL <br /> <br />(J ADDITION <br /> <br />(J ALT E RAT ION <br /> <br />~REPAIR <br /> <br />(J INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />(JMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />(J# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBI LE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK J~Qtrt "Re.pcU..r <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />o BUILDING <br /> <br />$ <br /> <br />'2.,0'1 '\ . og <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL $ <br />D GAS tiROOFING D SPECIALTY <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />VALUATION OF MECHANCIAL INSTALI.ATION <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D 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 D NO <br /> <br /> <br />BUILDER COMPANY Sc..hC4)H 'Koot,~~, \~i. <br />(l " STATE CERT OR REGIST # tt- 0 134 <br />SIGNATURE -7 .:1A.Lf'a... jdQ..L,p f tA.. CITY PROCESSING L- 2. i1. <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <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 />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />