Laserfiche WebLink
<br />~ l'J.' X <br />BUUDlNG <br /> <br />OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />DBIi'ARTMBlN'f 6335 8th S'fREHl'f ZHlPHYRHILI.S, B'L 33540 <br />J?honeI813-780-0,020 FaxI813-780,-0021 . .'. I. . '.. .~ <br />DATE RBClllIVilD -E..::3,,:!!......L.___ <br />PI.ANS REVIJlJW rJll!!i____-'++___~__. <br /> <br />t9 ,~ <br />DI'/NEJR'S HAl'iE (,-^~.!'!~_-----1f u rz.1':::._~::!_______________________ PHONE CON'l'AC~'!'_______._______ <br />.JOB 81'J'&1 ADDRESS .__;3_7~.3~___A1< 0.~o..'!:!__~~______________ _____.________.________.__ ______ <br /> <br />LEJGAL UEJSCRIPTION: LOT(S) <br /> <br />BT,OCK <br /> <br />SUBDIVISION <br /> <br />~--_._.__._~-_._- <br /> <br />~'--------'''''------.-...-- <br /> <br />J?ARUIiIL ID # <br /> <br />.-._--------_.._--~. <br /> <br />...-----.-.------..-.----.-.------.-------.--....---..--- <br /> <br />(OBTAIN F1ROM I?ROI?ElR'l'Y 'rAM NO'J'lClEJ) <br /> <br />WORK I?ROI?BEllJ I l]NB:W l~ONBTRlJCTION <br /> <br />[JSHm <br /> <br />o ADDITION o A I/rEJ RAT ION [1 REPAIR o lNST1\1.I, <br />o MOVE 0 DEMor,ISII <br />rJMtJI.1' I . FAMIl,y 0# OF IIlH '1' S 8-1'<108 Il.1ll llot4B <br />[J INDU~'l'RIAT, [J SW IMMING POOL (] ormBlR <br /> <br />I?ROI?DSEIl USE I [lSGl, FAMILY DWELLING <br /> <br />[] Cor4MIlIR(~IAI, <br /> <br />o RESTAURANT & HEAI.TH DEPARTt4ENT APPROVAL <br />llEJ8CRII?'l'WN OF WORK ._Me fT__ 5d .~~ _________________________________ <br /> <br />BlJI LDINta SIZE <br /> <br />SQUARE FOOTAl3E <br /> <br />HElHUi'f <br /> <br />RE8IDIlJNTIAT., <br />(~OI'1MIllR(!IAL I <br /> <br />A'I"rA(~H (2) PLOT I?I~AHS .& (2) 8E'l'8 OF BUll,DING PI,ANS & (1) SET E1NllJRriV FORMS, <br />A~l'ACH (3) SETS OF BUILDING I?LANS & (1) SElT ElNEJRGY FORMS, <br />PROPERTY SURVEY REQUIRElD FOR ALL NEW CONSTRlJC'l'WN. <br /> <br />-...----..---- <br /> <br />F~~ITS REQUE~TED <br /> <br />fJ BIJILIJIW3 <br /> <br />$ <br /> <br />VALUATION OF TO'l'AL CONS'I'RUC'fION <br /> <br />L1 IlJI.BlC'I'RWAI. <br /> <br />-.--------- <br /> <br />AMP t9IlJRVWBl <br /> <br />[] <br /> <br />FI.ORIDA POWER <br /> <br />[] <br /> <br />W.R,E},n, <br /> <br />[] PI.UtIJBING <br /> <br />o IIJBJUIlANIUAT, <br /> <br />/ <br />$---- <br /> <br />VAI,UATION OF MEC'HANCIAI. INSTAI,I.A'I'lON <br /> <br />[J GAS <br /> <br />[1 ROUFING <br /> <br />[) SI?EJOIAI/!'Y <br /> <br />[) O'I1HER <br /> <br />'l'YPE 011' COHSTRUCTION I [J BLOCK <br /> <br />[J FRANE <br /> <br />[J STElET. <br /> <br />[] OTHER <br /> <br />FIlHSUl:iIlJ FI,OOR EI,ElVATION8 <br /> <br />------ <br /> <br />18 PRO,JElC'I' IN FLOOn ZONE AREA 0 YIllS <br /> <br />o NO <br /> <br /> <br />BUILDBlR <br /> <br />SIGNATURE -~.-:".l: - ~V <br /> <br />CotIJPANY_~...~ _____________________._____..~ <br />STA'I'E CEJR'I' OR RIilGIS'l' I' _____________________.__._____ <br />CITY PROCESSING ~-r-X---_________...______ <br /> <br />* * * * * .. * * * * * .. * *k * * * 1< * * * ;. * * * * * *k ;. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ;. * * * * * <br /> <br />11II.1l0'fRIClIAN <br /> <br />8 j GHA'1'!JRE ___q~_~:.~_______ <br /> <br />COf\1I?Al~Y ---A!!:__~______________..___,__--.- _'____ <br />STATE (~ERT OR REG I ST # <br />C I'l'Y PROCESS ING ~---li!t~~-==~====~-=~~~_=~= <br /> <br />MEeHANI CAI, <br /> <br />****************************************************************** <br /> <br /> <br />(!OMPANY--~ _______..___.__~_________. <br />8'l'A'l'E CElR'l' OR REGIST # __________~_.. <br />8WNA'l'IlRE ______ ~_~_':::4~-z:;)___._____ CI'l'Y PROCESSING # ---.-!tS-___________.----:-___ <br /> <br />****************************************************************** <br />COlvlPANY_.eL.,:: --- ______________.______ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PI~tJWBER <br /> <br />8IGNA'l'tJRE ---.-W~ <br /> <br />'IS <br /> <br />----------- <br /> <br />**********************.***********************.****************** <br /> <br />OTHBlR <br /> <br />COl.1I?ANY <br />_._--------~...._--_._--_.~_..- <br />STATE CERT OR REGrST # <br />CITY PROCESSING # <br /> <br />----..-..--------....-- <br /> <br />S IGHA'l'URE <br /> <br />-_._~_._---_._-~ <br /> <br />***************************************************************** <br /> <br />--------.---------..........-.-..-.-------.- <br />