Laserfiche WebLink
<br />OWNER'S NAME \ \1W"'<" ~ "'.\. u- /:l-tph'i C 1/ It y._ <br />JOB SITE ADDRESS 5C;~\ ~. Ga..\\ O\\J~. <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 Sth STRBBT ZBPHYRBILLS, FL 33540 <br />PhonezS13-7S0-0020 FaxIS13-7S0-0021 <br />DATB RBCBIVBD ~ - II - () I <br />PLANS RBVIEW FBB . <br /> <br />PHONE CONTACT 5i3 -d 3 ct ..J 7 cD <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[JADDITION <br /> <br />IitJ ALTERATION <br />[J DEMOLISH <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />[J OTHER <br /> <br />pstCOMMERCIAL <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />[J INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE _(. ~ 0 () <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 />t) BUILDING <br />Iil ELECTRICAL <br />o PLUMBING <br /> <br />PERMITS REQUESTED <br />$ ~lJr~.~~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[J MECHANICAL <br /> <br />$~\~OO.OD <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />[J STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA [J YES [J NO <br /> <br /> <br />STATE CERT OR REGIST # ~~e:::~~~~C <br />CITY PROCESSING # ,;Z ?'f~ <br /> <br />******************************************~*~**** <br />)./FW ;=j...e(!..t. (!,D <br />BLBCTRICIAN ~. COMPANY ~ ~ 0fA ~c.......- <br />STA7E CERT ORR:SGI~T # QJ-cO':).,: \ 50~ <br />SIGNAWRE ~o.. CITY PROCESSING * ~4? Illy/C,/,(. <br /> <br />SIGNATURE - <br /> <br />~~ ~ W fiJiVY/) / <br /> <br />****************************************************Q************* <br /> <br /> <br />COMPANY \N<2":::>':,0;' \\J...~6-0~ <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # /~~ <br /> <br />fJk: <br /> <br />PLUMBBR <br /> <br />*****************************************2Hf* * *************~*ff**** <br />MBCBANJ:CAL COMPANY ~I ~-\r,'~f- ~.L..I--r,' L- <br />c.. . ^ -A--l r r STATE CERT REGIST # <br />SIGNATURE ~'ttI~c..--~ CITY PROCESSING # 10 0 it.... <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />.-..J <br /> <br />SIGNATURE <br /> <br />" <br /> <br />*****************************************************'************ <br />