Laserfiche WebLink
<br />~.J!f.e -lea~r...(' I <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION k~ <br />BUILDING DEPARTMENT 5335 8~ STREBT ZBPHYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATB RECBIVED I / - ;:29" a / <br />PLANS REVIEW FBB ' <br /> <br />OWNER'S NAME (l,/lIWo !-kJa t-Z~~ 1Yl./-/, p. <br />JOB SITE ADDRESS 375UJ N&uJ ;-I{)12( ZtJAi."5 <br /> <br />PHONE CONTACT 'l?z- /06 L( <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />4/ '71 <br />SUBDIVISION tdzANo 1--k>fZ-( Z-5# fYI/-I {? <br /> <br />PARCEL In # 3Lf--V:;; -2--( -(9DIO- O"LYoo - 0 ~'" (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: umEw CONSTRUCTION ~ITION o ALTERATION 0 REPAIR 0 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 /> <br />o MOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />It3-QTHER~ <br />,q U/ 111' Jt 1V'/,vI <br /> <br />DESCRIPTION OF WORK <br /> <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 />[!Y.BUILDING <br /> <br />$ / /~3q. zt.f <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[B-1fLECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />J ,,, c 5"j-Jrd:' <br />o W.R.E.C.vvl,~ <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />~1v <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 0 NO <br /> <br /> <br />SIGNATURE ~ fJ.~.~ <br /> <br />COMPANyj)i H (ov$~/ON oF Ct31uTfl.ll-<- FL-. <br />STATE CERT OR REGIST # CfJCoS7'1<fL <br />CITY PROCESSING # ~ ~ <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~4~~ <br /> <br />COMPANY AF EU--vi(U L <br />STATE CERT OR REGIST # <br />CITY PROCESSING # If? .",/ <br /> <br />BLBCTRICIAN <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 />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />