Laserfiche WebLink
<br />OWNER'S NAME <br /> <br /> <br />- ,,^ f! <br />I --.:~u....e,{) <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION '- l!- 5/01 <br />BUILDI DEP 5335 8th STREET ZEPHYRHILLS, FL 33540 .,_____. <br />P~on :813-,780-0020 Fax:813-780-0021 <br />AI tftl.~ (/.I'V DATE RECEIVED <br />...."ft D~- ll" ~ PLANS REVIEW FEE <br /> <br />4r ~ <br />d;.- <br /> <br />CONTACT <br /> <br />JOB SITE ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br /> <br />'-.2 (, - 2 <br /> <br />002-0 .-bPb~:>O- 0 <br /> <br />BTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: tHfEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI-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 />CJ <br />/41/; -kr <br />r <br /> <br />: 1217<.. <br /> <br />RESTAURANT & HEALTH <br /> <br />~rY <br /> <br />, <br /> <br />DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />1/1'1 <br /> <br />HEIGHT <br /> <br />/3 ) (. /1 <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 />~DING <br />~CTRICAL <br />~UMBING <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />1/19& <br /> <br />Ii'" <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <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 <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 <br /> <br />o NO <br /> <br /> <br />e# <br />STATE CERT OR REGIST b(,')~(,. <br />CITY PROCESSf/tJt;< 5'11 <br /> <br />****************************************************************** <br /> <br />LI J COMPANY MtJ r-Io# EZ.~tC- <br />~4/ ~ Ir l..~ STATE CERT OR REGIST # <br />'1/ "' CITY PROCESSING #,/ ~2.. ~ <br />. 1 O~ <br />*********************************************~******************** <br /> <br />PLUMBER A COMPANY gtd/ ,PI ~ J/ h ~ <br />~~~'-~ STATE CERT OR REGIST # <br />SIGNATURl(../' /l/"" '-.../ 1 ~ CITY PROCESSING # 'J I r l.. <br /> <br />******************************************~'J;J*~***************** <br /> <br />SIGNATURE <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />ELECTRICI <br /> <br /> <br />SIGNATURE <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 />