Laserfiche WebLink
<br />JOB ADDRESS <br /> <br />jV!COotU,4ld <br />'7631 6) Ail <br /> <br />( (~~!7-1~'O;{K/ <br />DA=:~~- <br /> <br />PLANS REVI - <br /> <br />5~ <br />c, 7?- ~ S V-141A~' r (I.; A- J /It ma t-- ) PHONE <br />j; /v'd 2- ~;Jj7-;2 h(lls , F c. , <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISIPN <br /> <br />PARCEL ID # <br />WORK PROPSED: ~ CONSTRUCTION <br />Os I GN <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />o ADDITION <br /> <br />o ALTERATI ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~RCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />1-100 Ie:. tAr Mjti L hm ~i.-'fJ,?J~</J~~)O/V ~~jk/J1/ <br />SQUARE FOOTAGE HEIGHT <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 />ta: <br />. <br /> <br />_8 <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 />~ECHANICAL <br /> <br />$ <br /> <br />110.00 <br />< <br /> <br />VALUATION OF MECHANCIAJ. 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 />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 />SIGNATURE <br /> <br /> <br />*.** * * **** * * * * ** * * ** * * ** ** * ** ** **~** * * ****** *"s4' *** ****-;,** ry <br />COMPANY /fe~A/AlUbO r/Lf' Y- ,)f1f-e:. <br /> <br />STATE CERT OR REG I ST # 4/3? )-0 Sbe>o( l 't ~ g <br /> <br />. CITY PROCESSING # '13 "~I <br /> <br />************************************~************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />