Laserfiche WebLink
<br />CfW- Scrrcnrt'-j w-e~0 <br />OWNER'S NAME -B-mcnCJLr'l Senior' f).r_v.,o-1r:p~n+- PHONE <br />JOB SITE ADDRESS o']~ I to /5 i-h (-i,;enu e... c;'eph y r hi II i <br /> <br />C~( 2-3-~3 ~ <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMBNT 5335 8~ STREET ZEPBYRRILLS, PL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATi: RlICEIVBD /, 2 g- - (tJ "3 <br />PLANS REVIEW FEE <br /> <br />-" <br />CONTACTO?J3)Q33' 7f29 F <br />FL 335cfl <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />SUBDIVISION <br /> <br />(0 2 C, <br /> <br /> <br />OSIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />00/0 <br /> <br />~ALTERATION <br /> <br />o DEMOLISH <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />KemDvol Of' fs / [)V~Y'rfY) r,v-c S\J....fl{) ~Lj.rfct'V)- repla[(~ wi <br />RnsuJ ~(O 2... Churl $ L/ S fcrr. <br />SQUARE FOOTAGE 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 />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF <br /> <br />41ff <br /> <br /> <br />TOTAL CONSTRUCTION <br /> <br />PBRMITS REQUESTED <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />o PLUMBING <br />}(MECHANICAL $ /1 Y1. 00 <br />o GAS 0 ROOFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION CFI/?~ <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />MBCBANICAL COMPANYS f mop' LX o,.,r\t"\("' _I I <br />STATE CERT OR REGIST # 8'i08yqOO:J./d OOa <br />SIGNATUREl1JhJ.JlUC) ~~ C~TY PROCESSING # .;;2C"1 ~ <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />