Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />, .4,UILDING DEPARTMENT <br />Gtc/ ttfeeld{(CY) ~(I.z:-~. <br /> <br />//-7 - fP :L <br />DATE RECEIVED - <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br /> <br />BLOCK <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL 10 # <br />WORK PROPSED: ~NEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />1i;3 - :J/p- ;;; 1- O.J-IJ 0 -00000- OOCJO <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ~AJ ~ <br />~ 1. Ey <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE 9':;7 7 <br />. <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~, BUILDING <br /> <br /> <br />'rf.. ELECT RI CAL <br /> <br /> <br />~ PLUMBING <br /> <br /> <br />'1- MECHANICAL $ <br /> <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br /> <br /> <br />TYPE OF CONSTRUCTION: ~ BLOCK <br /> <br /> <br />FINISHED FLOOR ELEVATfoNS <br /> <br />$ <br /> <br />lou, rfl,r7 <br />. I <br /> <br />}-en) <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />Y FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />'NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # ~. I~ <br />CITY PROCESSING # /01 ~ Io~ <br /> <br />*********************************************************~**~~ ~.~ <br /> <br />COMPANY 1~1-~ d. <br />STATE CERT OR REGIST #~C ~~-f <br />CITY PROCESSING # JCj. 1 "t-p;- <br /> <br />******************************************* **********t!..td". ;J.,,:;... tIC <br /> <br />f;/bv .faLl.zet ~t/"'/'i~9 <br />COMPANY / / . <br />STATE CERT OR REG I ST # F -' t ~ 't t S <br />CITY PROCESSING # .I 19 t. <br /> <br />SIGNATURE <br /> <br />ELECTRICI <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br /> <br />~. <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />