Laserfiche WebLink
<br />CITY OF ZEPHYRHIIJIJS PERMI'f APPIJICA'l'ION <br />BUILl>IWl lJEPAR'l'MEN'f 5335 8th STREE'f ZEPJlYRHILLS, FL 33540 <br />PhoneI813-780-0020 FaxI813-780-0021 <br />DATE RBCEIVED <br />----------.--..-----. <br />PLANS RBVIBW FHB <br />; OWNER I S NM-1E Fo f.f3t::.l/~!J--_(! V1.~~f______.._._____._________ PHONE CONTACT 21 S _ /tJ5"'7 <br />,JOB S I'l'E ADDRESS __.:t7t/?__9-6.~ ____.________.__ ______._____,_____ _. __.____.___.____________ <br /> <br />LEGAL DESCRIPTION: LO'1'(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />----~---_.- <br /> <br />PARCEL ID # <br /> <br />(OBTAIN F'ROM PROPERTY 'I'AX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />[] ADDITION <br /> <br />~AL'fERATION <br /> <br />[] REPAIR <br /> <br />[1 INSTAI,I, <br /> <br />[JSIGN <br /> <br />LJ MOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: DSGT" FAMU,Y DWELLING <br /> <br />[a-Mu LTI .. F'A11I L Y <br /> <br />0# OF UNITS <br /> <br />[J MClBnE: lIot/1E <br /> <br />[] COI1MERCIAI. <br /> <br />[l INDUSTRIAL <br /> <br />o SW Il-1MING POOL <br /> <br />[J OTHER <br /> <br />BUILDING SIZE <br /> <br />------.-------.-- <br /> <br />SQUARE FOOTAC3El <br /> <br />---.---- <br /> <br />HEIGHT <br /> <br />RES IDEN'I'IAL: <br />COMII1ERCIAI, : <br /> <br />A'I"I'ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (.I) SElT ENERGY FORII1S. <br />ATTACH (3) SETS OF BUIIJIHNG PLANS & (1) SET ENERGY FORHS. <br />PROPERTY SURVEY REQUIRED FOR ALl, NEW CONSTRUCT ION. <br /> <br />PERMlrs REQUESTED <br /> <br />o BllILDING <br />~EC'l'RICAL <br /> <br />$ ~DO- <br /> <br />VALUATION OF TOTAl, CONSTRUCTION <br /> <br />200 <br /> <br />Af\1P SERVICE <br /> <br />ifFI,oRIDA pm~ER <br /> <br />[] <br /> <br />W.R.E.C. <br /> <br />------ <br /> <br />r] PI,UMB ING <br />[] [v]E!CHAIHCAL <br /> <br />$ <br /> <br />--- VAI"UATION OF MECHANCIAI, INSTAl/LA'!' ION <br /> <br />[J GAS <br /> <br />L1 RUOF IN(~ <br /> <br />[] SPECIAUfY <br /> <br />[J OTHER <br /> <br />TYllBJ OF CONSTRUe'I'lON: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FllHSIIED F'LOOR EIJE!VA'l'IONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES <br /> <br />C) NO <br /> <br /> <br />BUILDHlR <br /> <br />COMPANY <br />STATE! CERT OR REGIST # ______ <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLlc'rRICIAN a <br />S.IGNA'l'tJRE -'v Il.. ~. <br /> <br />COMPANY ~vJ.rn. ,-h "s~_f!.~~~L~ :;:-xJ~_ <br />STATE CER'I' OR REGIS'!' # <br />--------------------..----- <br />CITY PROCESSING # 29--6Y <br /> <br />****************************************************************** <br /> <br />-----.-------.--------...-....--. <br /> <br />PLUMBHlR <br /> <br />COMPANY-__________.. <br />STATE CERT OR REGIST # <br />CI'!'Y PROCESSING # <br /> <br />SIGNATURE: <br /> <br />MHlCHAN!(~AL <br /> <br />****************************************************************** <br /> <br />------------------.------ <br /> <br />COMPJ\NY ._____'________..__ <br />STATE CERT OR REGrST # <br />CITY PROCESSING # <br /> <br />---------------..----- <br /> <br />S JGNJ~TllRE: <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />C0f\1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />S H3NATIJRE <br /> <br />---------------- <br /> <br />***************************************************************** <br /> <br />j <br />----_4__________ <br />