Laserfiche WebLink
<br />L:.l'.n: U1" ZEPHYRHILLS PERMIT APpr~ICATIQN <br />BUILDING DIiPARTMENT 5335 ~th S'rREE'r ZEPHYRHILI.a I FL 33540 <br />Phon~1813-780-~020 FaxI813-760-0021 ~~ ~ <br />DATB RBCEIVED ___~_~~~~~ <br /> <br />B V L~ "e '('_E~ ~ l J'tj ):be .;flll J' :::: ::::::'I'....~_.- <br />,JOB SITE ADDRESS .~-Z(j) 9~ &4 J/ 61 ve:!., <br />LEGAL DElSCRlt-'TION: LOT (8) Lj BLOCK SUBDIVISION ZeJ;'yr-lJ;a .5Uleft CIV'~ <br />PARCEL ID #_..oa-~r-J.I-t?t9,pfP -P!>6.t:J6>-ptPftJ (OBTAIN F'ROM PROPER'l'" TAX NOTICE) <br /> <br />\\'ll~ER I 8 HAl\1E <br /> <br />WORK I?ROPSED: []NEW CONSTRUCTION <br /> <br />OSICm <br /> <br />[] ADDITION [JALTERATION [] REPAIR P(lNSTAI,r, <br />[] IV/OVE 0 DEMOLISH <br />OMULTI - F].I.MIl'" [J# OF UNITS (] MOB II,E HOME <br />o INDUSTRIAL [] SWIMMING POOL o OTHER <br /> <br />PROJ:lOSED USE: DaGL FAMILY DWELLIHG <br /> <br />[] COMMERCIAl, <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />Fire <br /> <br />a / ~ r h1 .s vsTe;n <br />/ <br />SQUARE FOOTAGE <br /> <br />~115z-~//~rIPH <br /> <br />BUILDING SIZE <br /> <br />HEmUT <br /> <br />RES IDENTIAI,: <br />COJ\1MERCIAL: <br /> <br />ATTACH (2) I?LO,!, I?LANS & (2) SETS OF BUII,DING PLANS & (1) SElT ENlilRr#y FORMS, <br />ATTACH (3) SETS OF BUILDING I?LANS & (I) SET ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />f~~IT~ REQUESTED <br /> <br />p3 -::c; <br />.1P jD (P~ <br /> <br />\./ <br /> <br />o SmUllI'll] <br />[] ELECTRICAL <br /> <br />$ <br /> <br />~) LJ}r>5' <br /> <br />VALUATION OF 'l'OTAL CONSTRuc'rION <br /> <br />AMI? SERVICE <br /> <br />o FLORIDA I?OWER <br /> <br />o W,R,E.C, <br /> <br />[J I?l.lJI\1BING <br /> <br />o I.'JElCHAll WAL <br /> <br />$--- <br /> <br />VALUATION OF MECHANCIAL INS'!'ALLA'rWN <br /> <br />o GAS <br /> <br />o ROOFIHG <br /> <br />[] SPECIALTY <br /> <br />o OTHER <br /> <br />(~/1) 2!/J~ -71'ir~ <br /> <br />TYPE OF CONSTRUCTION: lJ BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />F'INISHED FLOOR EI,EVATIONS <br /> <br />IS I?RO,JECT IN FLOOD ZONEl AREA 0 YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COtIJI?ANY____ <br />STATE CERT OR REGIST #__ <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****t***********************************.****.********t*t********. <br /> <br />lilUlCTRICIAU <br /> <br />COlvJl?ANY <br />STATE CiRT OR REGIST # <br />CITY PROCESSING # <br /> <br />,:) I GllA'I'URE __.__~ <br /> <br />-----------....,---.- <br /> <br />*************************t**************************************** <br /> <br />PLUMBER <br /> <br />COMI?ANY <br />STATE CERT OR f{EGIST # <br />CITY I?ROCE8SING # <br /> <br />SIGHA'l'lJRE <br /> <br />MBlCHANICAIJ <br /> <br />****************************************************************** <br /> <br />COMI?ANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />.~._-------- <br /> <br />SIGNATURE <br /> <br />**************************************~************************** <br /> <br />,... ~Clltn'Pl <br />SI(Jl~A'rURE ~~ ~ <br /> <br />****************************.*********************************f <br /> <br />COlvJI?ANyAJ)T Secup;Tv 5e", <br />STATE CERT OR REGIST # E"1==" 00 <br />CITY PROCESSING # 3 O~? <br />