Laserfiche WebLink
<br />, OWNER'S NAME ~144A1o ~(l ( ZOjV /11-11 . f . <br />JOB SITE! ADDRESS '3 7 C; 3? Luf2..FiY1L_.Av[ <br /> <br />CITY OF ZEPgYRHILLS PERMIT APPLICATION <br />BUILDING UBPARTtiBNT 5335 8th STRJilBl'r ZBPHYRHILLS, P'L 33540 . if 'f' <br />Phbrtel813-'lBO-0020 P'a~IB13-780-0021 , 1') '7 .,", <br />DATa RBCBIvaD u _~~_ <br />PLANS RBVIR'" 1'11.____ <br /> <br />~T <br /> <br />PHONEl CONTACT '11'2-1 bC: '( <br />I.Ll.~_-p- -1'/-tJ2. ~ <br />SUBDIVISION C;~o 1-4/21 Zlflf/ f!!:fj,f. <br /> <br />LEGAL DESCRIPTION I LOT(S) <br /> <br />BLOCK <br /> <br />---- <br /> <br />PARCEL ID # 3'-1--,7 S' -- 21 - DOlo - f)U Of) - 0 J , J (OBTAIN F'ROM PROPERTY TAX NOTICE) <br />WORK PROPSEDt ~W CONSTRUCTION 0 ADDITION o ALTERATION 0 REPAIR 1]-1'N8'l'AJ~JJ <br /> <br />DSIaN <br />PROPOSED USEI ~ FAMILY DWELLING <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />o COMMERCIAIJ <br /> <br />OMULTI -F'AMILY <br />o INDUSTRIAL <br /> <br />0# OF UNI'rS <br /> <br />o MOBILE HOME <br /> <br />rro:;;IER <br />/1L(/IVIII..)(/"",,- <br /> <br />o SWIMMING POOIJ <br /> <br />~ c=J RESTAURAN~EALTl~DEPARTMENT APPROVAL <br />CY" ~) . . <br />DESCRIPTION OF WORK PI< (2... S"HEP, 12~ 0 CAf470/l., <br />I <br /> <br />BUILDING SIZE! <br /> <br />SQUARE FOO'rAGE <br /> <br />'fSCp <br /> <br />HEIGHT <br /> <br />RESIDENTIAL I <br />COMMERCIAL I <br /> <br />A'l'TACH (J) PLOT PLANS & (J) SETS OF BUIIJDING PLANS & (1) BET ENERGY FORMS. <br />ATTACH (3) SETS OF BunDING PLANS & (1) SET ENERGY FORMS, <br />PROPERTY SUEtVEY RBlQUIRED FOR ALIJ NEW CONSTRUCTION. <br /> <br />~~rHnNG <br />OYELEC'l'R I CAL <br /> <br />PERMITS REQUmSTED <br /> <br />$ <br /> <br />C(tJt.fD, CJ0 <br /> <br />VALUATION OF TOrrAl. CmTS'1'RuCTION <br /> <br />AMP SERVICE <br /> <br />o FI,OR IDA PdWER <br /> <br />o <br /> <br />W.R,E,(], WI RE S,.;IE,?? <br /> <br />[1 PLUMB tHG <br /> <br />o MEeHAN reAL <br /> <br />$ <br /> <br />VALUATION OF MECHANcrAr~ INSTAIJll~TION <br /> <br />o GAS <br /> <br />o ROOFINO <br /> <br />o SPECIALTY <br /> <br />[J OTHER <br /> <br />'l'YPE OF CONS'l'RUCTlON I 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o O'tHER <br /> <br />FINIBlUllD Fr~QOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDBR <br /> <br />COMPANY 15 ~ II C OIV S r fl..Jc.rr a/t-/ t!Jp CV~ r::-L. <br />1'7 17 /J /", STATE CERT OR REGrBT # C Bee ~7 rz .,p z.. <br />~u... /J ~ CITY PROCESSING ~;;z (p <br /> <br />****************************~****************~~f::*********** <br /> <br />B lGNA'rURE <br /> <br />JlLICTRIOIAN <br /> <br />COMPANY /k..e ELCc. r/Z( <. <br />/3. /l Chi! C2.. STATE OER'r OR REGtST # <br />~ 'Jf{ CI'I'Y PROCESSING ~' 1?7 <br /> <br />************************************************~*~************ <br /> <br />S IGNA'l'tJREl <br /> <br />PLUMBIR <br /> <br />COMPANY- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />S lGNA TURE <br /> <br />HBCHANICAL <br /> <br />**********************************************************~******* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURllI <br /> <br />***************************************************************** <br /> <br />OTHIIR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CHRT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />