Laserfiche WebLink
<br />i OWNER'S N'AME Ic.r C G12Cm rJ <br />JOB SITE ADDRESS 363?8 ~U.1H ~I <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th STREET ZBPHYRHILLS, FL 33540 <br />PhoneI813-780-0020 FaxI813-780-0021 <br />DATB RBCBIVJlID ______________ <br />PLANS RBVIBW FBE <br /> <br />PHONE CONTACT(8/~)bZ4-14b4 <br />ZEPHY'Kf-fll1 '); FL, 3~,S-4 L <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[J ADDITION <br /> <br />o ALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTAJ~L <br /> <br />[J S IGN <br />PROPOSED USE: ~SGL FAMILY DWELLING <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />OMULTI -FAMILY <br /> <br />0# OF UNITS <br />[] SWIMMING POOL <br /> <br />o MOBILE HOME <br />[] OTHER <br /> <br />[] COMMERCIAL <br /> <br />[] INDUSTRIAL <br /> <br />BUILDING SIZE <br /> <br />o REJSTAURANT & HEALTH DEPARTMEN'f APPROVAL <br />TEJtt:-bFF ~ JIUSTFrU f'0f},.) ~H 1J()e:,.L~ 120bF <br />SQUARE FOOTAGE )750 HEIGHT <br /> <br />DESCRIPTION OF WORK <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 BUIJJDING 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 ELEC'l'RICAL <br /> <br />AMP SERVICE <br /> <br />[] FI.ORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />[] PLUMBING <br /> <br />[] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALJJATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONS'l'RUCTION: 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 AREA[] YES <br /> <br />[] NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCEJSSING # <br /> <br />****************************************************************** <br /> <br />BLBCTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MBCHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />