Laserfiche WebLink
<br />I <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ STREET ZEPHYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />L@ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />34 <br /> <br />SDtJA <br />A t> f _ <br />7 <br /> <br />PHONE CONTACT 7 ~ :z - +- J J 10 <br /> <br />OWNER'S NAME -:r: h tV ~ ~ AM Ii' t IV <br />JOB SITE ADDRESS ..3 q 0'2 U r0; Nt h <br /> <br />SUBDIVISIONYi (IJj 1; Wj':;, AJd;-t,\oAJ <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />IZ2lP 21 <br /> <br />o UJ.- 0 007 tJO <br /> <br />0:3 1 l <br /> <br />WORK PROPSED: }(NEW CONSTRUCTION <br />OSIGN <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />OMULTI - FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~QNstR'lC+ ~e:1Mhd GMlije <br />X 2. 4- SQUARE FOOTAGE 5 71a <br /> <br />~4 <br /> <br />HEIGHT 2 2.J Al\~ <br /> <br />& (1) SE1 ENERGY FORMS. <br />FORMS. <br />12. \ <br /> <br />ovt.I~t-lll <br />----- <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />J!/ BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />\3 ~to~~:E <br />l <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK I)( FRAME <br />, <br />FINISHED FLOOR ELEVATIONS /p A I5livt ~~.:)C\e <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br /> <br />IS PROJECT IN FLOOD ZONE AREAP{ YES <br />,&10 87 <br /> <br />o NO <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY Yf'lA,te ~ C-CAPfljt $ i cL('~ <br />STATE CERT OR REGIST # ~. K C.- 0 S 7 D ~ 'if <br />CITY PROCESSING # 2~/~ <br /> <br />BUILDER <br /> <br />********************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE - <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />