Laserfiche WebLink
<br />mINER I SHANE & !. _ O~ <br />j,L <br />,JOB S I'l'E ADDRESS / 07' a 2 <br /> <br />L:l'l'Y OF ZEPHYRHILLS PERMIT APPIJICATION <br />BUILDING DBPARTMENT 5335 f:lth S'l'REE'1' Z.IllPHYRHILLS, FL 33540 <br />fhon.1813-780-~020 Fax.a13-7eO~0021 <br />IlA'.r.lll RICEIVJlID ~~________.__~ <br />Ii'I,ANS R.IllVI.IllW i'IB_____~__ <br /> <br />Y/~ PHONE CON'!'AC'I~.3-t.7S-99'9 Y <br />.L~4}1 ..!.O_~~/lnlJ~\I;c. OItt:S RI<-?~k~_ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />107 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />~f - ;)G. - Jj- <br />WORK tlROtlSED: [!ffi'Ew CONSTRUCTION <br /> <br />PARCEL ID # <br /> <br />. I(~.IN F'ROM tlROPERTY TAX NQTfCE) <br />cCC:>oo - 6o/CD ~'2Q <br />o ADDITION o ALTERATION D REPAIR 0 WST~f,I, <br /> <br />DSHm <br /> <br />o MOVE <br /> <br />D DEJv10LISH <br /> <br />PROI:'OSEIl USE; nSGL FAMILY DWELLING <br /> <br />o MUL'l'I - FAMILY <br /> <br />D# OF UNITS <br /> <br />o MOB IlJE UO''dE <br />DO'fHE~ <br /> <br />o COMMERC rAI. <br /> <br />o INDUS'l'RIAJJ <br /> <br />OSWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURAl~T &. HEMml DEPARTMENT AtlPROVAL <br /> <br />) ~ 'c 5"0 Lh.~ '0/< 4~'-f <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE ~~O <br /> <br />HEWWf <br /> <br />RES IDENTIAI,: ATTACH (:a) PLOT PLAllS & (2) SETS OF BUU,DING PLANS &. (l) SET ti;Nij1R'l1{ FORMS. <br />COlv'lMERCIAI. : A'l''l'ACH (3) SE'rs OF BUII,D:rNG PLANS & (1) SET ENelRGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />fERMITS REOUES~~ <br /> <br />D BUILDINC3 <br /> <br />$ <br /> <br />/~50,Co" <br /> <br />VALUATIDN OF 'fO'l'AL CONs'rRuc'rroN <br /> <br />fJ ELEC'I'RI CAI, <br /> <br />AMP ~ERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o l?l,{)jI16ING <br /> <br />o J.1ii:CHAN I CAJ. <br /> <br />$-- <br /> <br />VALUATION OF MECHAl'lCIAI, INSTALLNl'ION <br /> <br />o GAS <br /> <br />o ROOrING <br /> <br />D SPECIALTY <br /> <br />D O'l'HBlR <br /> <br />TYPE OF CONSTRUCrIOl'l; LJ BLOCK <br /> <br />o FRAlv'lE: <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FI{)OR EI,EVATIONS <br /> <br />IS PROcJECT IN FLOOD ZONE AREAO YES IJ NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STA'I'E CER'l' 0Ii. REGIST #~"' <br />CITY PROCESSING # <br /> <br />fHGNATURE <br /> <br />****.k...*.......*....****.*.**.**.**..*.*.**..*....*..*...*.*.*.. <br /> <br />!ilI.BlCTRrCIAN <br /> <br />COlvlFANY <br />STATE CERT OR REGrST # <br />CITY PROCESSING # <br /> <br />SIGNATURE ___ <br /> <br />**.**....**.*.*...***..**.*****.******.******.****....**....**..** <br /> <br />iLUMS.IllR <br /> <br />COMPANY <br />STATE CER'I' OR f{EGIST #__ <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />M.IllCHANICAIJ <br /> <br />**********.**.*.************.**..*.*****.******.*****.***.*****.** <br /> <br />COlvJPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**..**********************************~*****************...*.**** <br /> <br />OTHIi!R Conc,!QJ.-/=e CZvn /~/k /G< <br />SIGl1ATURE /?; ~~ <br /> <br />***..*......*****.*.*****.**..*****.***.**.*.*.***....*****..*..* <br /> <br />COMP~W ~,",L~'b ~r,.c.a.&>h ~~~kc ' <br />STATE CERT OR REGIST # r?';'i(j;);F ~09 77 J <br />CITY PROCESSING # 7~" ...... IC::. 0' <br />L=.:_H3:.'f...s ~ v 0 . <br />