Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Sth STREET ZBPHYRHILLS, FL 33540 <br />Phone:S13-7S0-0020 Fax:S13-7S0-0021 <br />DATB RBCBIVED -11- 2? - 0 I <br />PLANS REVIEW FBB <br /> <br />OWNER'S NAME G-I'1J1f-.NJ. /jc..J1'l-1 "1...(J.~ <br />JOB SITE ADDRESS L" I ~ ~ '37 S 3;;)", <br /> <br />PHONE CONTACT <br /> <br />~w /ltJR /i pAl <br /> <br />h/W/ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(,-JI',q,V j) !iu;<- /-....c,...J <br /> <br />PARCEL ID # <br /> <br />WORK PROPS ED : 0 NEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <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 />o MULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />El'MoB'ILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~7, - (1 <br /> <br />'3 c i< 5> '-I <br /> <br />SQUARE FOOTAGE <br /> <br />BUILDING SIZE <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 />PERMITS REQUESTED <br /> <br />/1J"'BUILDING <br />~LECTRICAL <br />~LUMBING <br />~MECHANICAL <br /> <br />$ <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />~FLORIDA POWER <br /> <br />o W.R.E.C. <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 />SIGNATURE <br /> <br />w~-n:2of) <br /> <br />,,- <br /> <br />COMPANY r<4/J <br />STATE CERT OR REGIST # <br />CITY PROCESSING # J(~. v/- <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />BLBCTRICIAN <br /> <br />COMPANY )<J<:::... e... <br />. ~-'~l~M STATE CERT OR REGIST # <br />W ""7~-:t:l-el F CITY PROCESSING #. IOn <br />, /tr-r-1)!<.- <br />****************************************************************** <br />-rlJ--p9 /2~ <br />COMPANY fl. A.,I(..~' __ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 0 L <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />..,/w <br />W ~-_. .fi~-/~ . .. . <br />I" <br /> <br />SIGNATURE <br /> <br /> <br />****************************************************************** <br />COMPANY /t<- __,,'d <br />STATE CERT OR REGIST # <br />CITY PROCESSING # ./J.t:-' <br />rer- ()/.l.:. <br />************************************************ <br /> <br />MECHANICAL <br /> <br />OTHBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />I~ <br />