Laserfiche WebLink
<br />APPLICATION FOR PERMJT <br />CITY OF ZEPHYRHILLf <br />BUILDING DEPARTMEN~ <br /> <br />I e.l1u~ 1- 3:_<(~_~~Lk <br />\. .---- <br />~~- <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME H );'C ;'0, Fe. i"f}(j /ld-e c~ -tJ.-a nl~Ja IlJ 0, <br />JOB ADDRESS ~al ~ ~((,fVlSID'{}e ~'\~vZ. <br /> <br />PHONE 1; I '3,- 1 ~q rO f"lSo <br />7 - ~ \' \ ) s ) i=" l " <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 3L/- ~S- ~\-6()Ol)-'Ou DCJ -CX)~ <br />:S~",dS- (). -()060-oG=::'cO - O~9 <br />WORK PROPSED: pEW CONSTRUCTION 0 ADDITION <br /> <br />DSIGN 0 MOVE <br /> <br />OALTEHATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE:,DjGL FAMILY DWELLING <br />AOMMERCIAL <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 />o HESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIP'I'lON OF WORK ~-+..A- -fe,J(','o-r CD~XJ\f',~1DYl <br />BUILDING SIZE __~t "J..... !.o~7 SQUARE FOOTAGE '3 j ~G 0 <br /> <br />HEIGHT <br /> <br />J Lf.{-J <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENER~Y FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPEHTY SURVEY REQUIRED F'OR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />ItJ'1iUILDING <br />~LECTRICAL <br />~UMBING <br />n;('MECHAN I CAL <br /> <br />$ <br /> <br />- Qtx!J <br />... <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />~LORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />'i? ?S{) ~ <br /> <br />VALUATION OF MECIIANCIAL INSTALLATION <br /> <br />v <br />4t1fL <br />, :y~,.> <br />o STEEL 0 OTHER ~ / <br /> <br />IS PHOJEe'!, IN FLOOD ZONE ^F~~; / 0 NO <br />// <br />/. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUC'rION :.~BLOCK <br />FINISHED FJ,OOR ELEVATIONS <br /> <br />o F'RAME <br /> <br />BUILDER <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # v6"t- <br /> <br />***********~******************************* <br /> <br />~ , l0J~ <br /> <br />',::i!l;'i,"!I'li:Wi/iiill;:i;'!':I;!;i::I!"!:':,';:ill;::;::!':':"!',!:':,;:;:::,:::';:..'" <br /> <br />PLUMBER <br />SIGNATURE JJ Jl rl\ m/J::-, <br /> <br />SIGNATURE <br /> <br />~~.. <br /> <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING ff <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />.. <br />