Laserfiche WebLink
<br />k\." . t', ""' <br />, ::-1U..).-('<..1. \ <br />) <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBP~MBNT 5335 Sth STRBBT ZBPHYRHILLS, PL 33540 <br />(,' . I Phoi\~IIS13-7S0-0020 Pax:S13-7S0-0021 , <br />L L" . I~. ._-/. ' DATB RBCBIVED r-1.J.6/o I <br />. CV)~I (, ~./ PLANS REVIEW PBB <br /> <br />OWNER'S NAME -2e.-i,"f'~1 (l.':) i::h~\ch~ PHONE CONTACT?OY- r'i'I-'1Xo <br />f" I .<3& t..f f 3('{ <br />JOB SITE ADDRESS '133<.:; .:).c M SI-<<2d <br /> <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[JADDITION <br /> <br />fg) ALTERATION <br /> <br />[J REPAIR <br /> <br />D INSTALL <br /> <br />DSIGN <br /> <br />[JMOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI - FAMILY <br /> <br />D# OF UNITS <br /> <br />[J MOBILE HOME <br />DOTHER <br /> <br />D COMMERCIAL <br /> <br />D INDUSTRIAL <br /> <br />D SWIMMING POOL <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />Y Sct)SF <br /> <br />~-<( ~/)} 0 K-cp'-:. n/j~)., /','7 f-t"".,rl~/ re.'"'7oc/C( ( <br />SQUARE FOOTAGE HEIGHT <br /> <br />DESCRIPTION OF WORK Dvh'\{') <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />gJ., BUILDING <br /> <br />$ .!' 16<;}t( (~',s:/-vGllo1 VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />D PLUMBING <br />~ MECHANICAL <br /> <br />$ <br /> <br />I~ ~(;.'X.fukc' 4'{,"~~ VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />[J ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />[J STEEL <br /> <br />~ OTHER DrywC'dl <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA 0 YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />COMP!\NY TCre.. ft.:t.:,ktl (o-"Yj~'f <br />STAT~ CERT OR REGIST # <br />CITY PROCESSING # c97~ i' V. <br /> <br />BUILDBR <br /> <br />************************************************************** <br /> <br />BLBCTRICIAN <br /> <br />(/ <br />~rP <br /> <br />COMPANY 'EF tec\ <br />STATE CERT OR REG 1ST <br />CITY PROCESSING # <br /> <br />#c~ c:9000517 Y <br />;lS"1fJ t/ <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />COMPANY 1'\..}A-J ~""?n 6vr"" <q f <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBBR <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />COMPANY ~~p0'" 1"1..-, Mcu?'.CC:( I <br />~ STATE CERT OR REGIST # <br />~EE /l7T/lU f1tEtUl CITY PROCESSING # ~~~2. ;/- <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />