|
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUILDING DBPARTMENT 5335 8~ STRBBT ZBPHYRHILLS, PL 33540
<br />PhoneI813-780-0020 Pax:813-780-0021
<br />DATE RBCBIVBD
<br />PLANS RBVIBW PBB .
<br />
<br />OWNBR'S NAME ~rr?fz+/1d1: a!~e~
<br />JOB SITE ADDRESS ~ _12.~ ---1(t2r~ L2 //)~
<br />LEGAL DESCRIPTION: LOT(S) BLOCK
<br />
<br />PHONE CONTACT
<br />~~e/Q,kI /j,/~
<br />
<br />SUBDIVISION
<br />
<br />PARCEL ID #.2 - 2t. -21- t:J ,ff~tJ~& PPOp_
<br />
<br />
<br />(OBTAIN FROM PROPERTY TAX NOTICE)
<br />
<br />WORK PROPSED: DNEW CONSTRUCTION
<br />
<br />DADDITIO~
<br />
<br />D ALTERATION
<br />
<br />D REPAIR
<br />
<br />D INSTALL
<br />
<br />DSIGN
<br />
<br />o MOVE
<br />
<br />D DEMOLISH
<br />
<br />PROPOSED USE: DSGL FAMILY DWELLING
<br />
<br />DMULTI - FAMILY
<br />
<br />0# OF UNITS
<br />
<br />D MOBILE HOME
<br />D OTHER
<br />
<br />D COMMERCIAL
<br />
<br />o INDUSTRIAL
<br />
<br />o SWIMMING POOL
<br />
<br />DESCRIPTION OF WORK
<br />
<br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
<br />
<br />#lc4-;/Jo~rr
<br />
<br />/
<br />! 213'~;()~
<br />
<br />SQUARE FOOTAGE
<br />
<br />/&5"'~
<br />
<br />HEIGHT
<br />
<br />/3(C /1
<br />
<br />BUILDING SIZE
<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 />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 />D 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 />D OTHER
<br />
<br />TYPE OF CONSTRUCTION: 0 BLqCK
<br />
<br />o FRAME:
<br />
<br />D STEEL
<br />
<br />o OTHER
<br />
<br />FINISHED FLQOR ELEVATIONS
<br />
<br />IS PROJECT IN FLOOD ZONE AREAO YES
<br />
<br />o NO
<br />
<br />,r1"'I' I"P'T -"C81tW]IC"Tm-TrI' '''''-_TI\'~r l~i'I'-f',J:-::"::"'d"'T8'<;T:i',~"T- "- , -'" T, -- - - - - "QC"J'flTIW'ny!"c,:mTI1T' "'=I'~J:rr"';!1~~]'"1l1' "JP""".I'
<br />l"" .' ,,"II, \"/< I' ''I "If Ir "1 'I+f). 'I I" ", Ii ' ' "1"'1[' '" ,:t If" ,j ;llIITle'" I',f., 0 t'" '" t 'If' J, "I!'t;~+dllm"; ,
<br />"'I[:Rf~',I, " ,d'l' "';,' I"I'J, J ',:-;1':) 1"F11':'ll', t ,,~' I,hl'1)I.,:,; ,fl,"",I' j ~:,l','~I)!lH~"l' ,I W~~,t'lf"l: iC'ltli 'f" i ,', t, r"l"]"'r.!j~i "'~~
<br />,.In. t ~-"i' ...flh"H\.", ",.;rt iJ ., o_.J t tt . " ~ - ~ I'"~ ,... ~, .1,,,,, ~ ~~ ~ I, 1, I "'''~l''''' , it ,~I .ii lJJj
<br />
<br />BUILDBR
<br />
<br />COMPANY
<br />STATE CERT OR REGIST f#
<br />CITY PROCESSING #
<br />
<br />SIGNATURE
<br />
<br />******************************************************************
<br />
<br />BLBCTRI~~ COMPANY
<br />~. STATE CERT OR REGIST #
<br />SIGNATURE - _' .uV'~<;;_____ CITY PROCESSING #
<br />
<br />******************************************************************
<br />
<br />
<br />COMPANY
<br />STATE CERT OR REGIST #
<br />CITY PROCESSING f#
<br />
<br />MECHAN'ICAL
<br />
<br />******************************************************************
<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 />
|