Laserfiche WebLink
<br />~ a~! ii <br /> <br />E ~' ~l <br />o .... <br />:> ~ <br />I .. <br />~ .. 0" <br />wj ~ L..~ t.i l8\llMj <br />L <br />z rI l:l~"" <br />........... 1'11.1 Q.. Me::> <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPAR~ 5335 8~ STREET ZEPHYRBILLS, FL 33540 <br />PhoneI813-780-0020 FaxI813-780-0021 ~ Q_ A .., <br />DATE RECEIVED CL.. f' V 0"'--... <br />PLANS RBVIEW FEE <br /> <br />OWNER'S NAME G/Zt4NtJ /lr; 121 21JIJ /YI-H _ p, <br />JOB SITE ADDRESS 3rrs'+z LANO/5 fJVE <br />LEGAL DESCRIPTION: LOT(S} /00 BLOCK <br /> <br />PHONE CONTACT 'It> z - /06 r <br /> <br />SUBDIVISION Cf./M-tJ /.-I1JR./2oIJ /Yl/~.f_ <br /> <br />PARCEL ID # 3+-'2--5-2--(- 0010- oz%'oo - 0100 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: (g1:fiw CONSTRUCTION 0 ADDITION o ALTERATION 0 REPAIR r;;;r-tNSTALL <br /> <br />DSIGN <br />PROPOSED USE: ~FAMILY DWELLING <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />r.1 __ KY ~ //YIIMJM... <br />U::r OTHE ~ ......-' <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF <br /> <br />~ RESTAURANT & HEALTH DEPAR~APPROVAL <br />.s..!!bv ~ <br />WORK /2.- xlz.. t/+I ~Ef) SctZ6EN /bJoM . J>x Sh4CtJ, /21< 1-7 cAflfCILr <br />/ I <br />SQUARE FOOTAGE t; 52-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 />~ILDING <br />~ECTRICAL <br /> <br />$ / I 2ffr (P if <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C.wl/lE sHeo <br /> <br />o 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 />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 0 NO <br /> <br /> <br />BUILDER <br /> <br />l3uu:e It ~ <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~A~~ <br /> <br />COMPANY ALf E L- E (. T12-l L <br />STATE CERT OR REGIST # <br />CITY PROCESSING # I <? 7 <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MBCHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*******~*****************************_.__._......... -... - -...- <br />