Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPAR~ <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />- <br />OWNER'S NAME 1(lI~J <br />'"' <br /> <br />JOB ADDRESS 16~ <br /> <br />PiU}~p0LI ~ <br />/15 f1rJ I-fd--t <br /> <br />PHONE ? 8?- ;fiG () <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />(OBTATN FROM PROPERTY TAX NOTTCEl <br /> <br />[JADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />[J SIGN <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[] MOBILE HOME <br />[J OTHER <br /> <br />~ <br /> <br />DESCRIPTION OF <br /> <br />o RESTAURANT <br /> <br />"ORK~Z- - (~ <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESID~TIAL: <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 BUILDING <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />I, L 09 0 . 00 VALUATIO~ OF TOTAL CONSTRUCTION <br />AMP SERVICE [J FLORIDA POWER [J W.R.E.C. <br /> <br />[J ELECTRICAL <br /> <br />[J PLUMBING <br /> <br />~ <br /> <br />[J MECHANICAL- <br /> <br />$ <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[] FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J Y:ES [J NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRJ:CIAN <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 /> <br />SIGN <br /> <br />~::>-~ -- -. <br />COMPANY (X~--h ' L- ~... <br />STATE CERT OR REGIST ('j':r. . <br />CITY PROCESSING # ~~. <br /> <br />vCDb(plloL/P <br />