Laserfiche WebLink
<br />OWNER'S NAME 2J -tvid. ~ <br />JOB SITE ADDRESS .39 0 /_~ <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />-5 -r~ t::'A 41U; ~L f.I'i ~ Q A.J PHONE CONTACT 7 J -S- -0 17~ <br />/~.,.. Af.}~ 2- (. ;h'1fLh",/1s. -:; / .3~"51?() <br />I / <br />BLOCK SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />o COMMERCIAL <br /> <br /> (OBTAIN FROM PROPERTY TAX NOTICE) <br />o ADDITION o ALTERATION o REPAIR ~TALL <br />o MOVE 0 DEMOLISH <br />DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />WORK PROPS ED: 0 NEW CONSTRUCTION <br /> <br />DSIGN <br />PROPOSED USE: 8~ILY DWELLING <br /> <br />o <br />DESCRIPTION OF WORK IrUs/;9-I/ <br />I ~ j) t fi-/.J~ V <br />f <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />PM I~ Ch:..r- <br /> <br />~I <br /> <br />fJr <-1f e- T <br /> <br />ALC 1:- <br /> <br />c-..{ C;; ,./ c! -. <br />4j-' <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />o BUILDING <br /> <br />$ <br /> <br />lJ,v <br />-15- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <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 <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />~R <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <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 />