Laserfiche WebLink
<br />lNAL-L ~,~<~ <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />r (!yJkQ 5- ,Zr..-o ~ <br />( <br /> <br />DATE RECEIVED 3 - ~ ~ - () t.3 <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME <br /> <br />Bt't.l NIL.C-iL. ~ L-' "-lOA , ~ f'lC <br /> <br />PHONE <br /> <br />JOB ADDRESS 7 (p t-/ 3 <br /> <br />G.-" L<- J3, <- l) 0 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />~IGN <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR' <br /> <br />[J INSTALL <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br />~STAURANT <br />iN~T^L-L- <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />v--J A. L-<.... <br /> <br />s ( ~ ~ t="'OIL- <br /> <br />\ <br />C+fCLI So <br /> <br />BUILDING SIZE <br /> <br />'i.;l(><.(oo <br /> <br />SQUARE FOOTAGE S S 2- 0 <br /> <br />HEIGHT <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 />PERMITS REQUESTED <br /> <br />~BUILDING <br />r:fELECTRI CAL <br /> <br />$ <br /> <br />\~I \) OIL.. c.-l ( T\'l <br />ru (c; r, ~G- AMP SERVICE <br />f--'\<- ~e-e..1" ,,-. c... - tl y <br /> <br />[J FLORIDA POWER <br />O'/H ~ <br /> <br />[J <br /> <br />W.R.E.C. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J PLUMBING <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES <br /> <br />[J NO <br /> <br /> <br />T.MA &LS c,/lrV ~I' I C S f'CC./4 ( 7/tC-:j <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br />~ <br /> <br />E S - 00003 b / <br /> <br />BUILDER <br /> <br /> <br />-r- ^. A ~ ~p H { c... 5 /',eC It?r tile"", <br />COMPANY ~ ' ""'" J <br />STATE CERT OR REGIST # (:..$ - 6 Q 0 0.3 b I <br />I~ PROCESSING # <br /> <br />***************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />* * * * * * * * * * *.* * * ** * * * *** ** *** * * * ** ** * * * * ** * * ***** ** * **** ** ** * ** * ** * * <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />