Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTKBNT S33! 8~ STRBBT ZBPHYRBILLS, FL 33540 <br />PhoneI813-790-0020 FaxI813-780-0021 <br />DATB RBCBIVKD <br />PLANS REVIBW FBB <br /> <br />5" /:J-7 /03 <br />/ I <br /> <br />OWNER I S NAME T3 E;.J S PI ;J N If 10 <br />JOB SITE ADDRESS 37 I-f 3t.( (\lEuKON\. AvE, <br /> <br />PHONE CONTACT '71 z- I 0 ~ 'f <br /> <br />LEGAL DESCRIPTION: LOT(S} <br /> <br />BLOCK <br /> <br />Leor 3 S- <br />SUBDIVISION C/ZA#t:/ f!ofl-fC4,/!/ /Yll-lf <br /> <br />PARCEL ID if '3Cf- 25"'- 2-(- 0010 _ oz.?'oo _ 0 0 s ~ (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />.. <br /> <br />WORK PROPSED: ~W CONSTRUCTION 0"ADDITION DALTBRATION 0 REPAIR ~NSTALL <br /> <br />OS IGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />~ !tL-vM 1#(/l'f'1.r <br />L:J OTHER <br /> <br />OMULTI-FAM!LY <br /> <br />0# OF UNITS <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />6P <br />U- CAIlfD/1.r- <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />~rg--:. <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 />[]Y13UILDING <br /> <br />$ <br /> <br />211 N.o2- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMB ING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY . 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />BUILDBR <br /> <br />~ <br /> <br />j). <br /> <br />. <br /> <br />~ <br /> <br />~O~PANY 1S [H CON~r{t,jLr( DN IF- 03-NTlZIJL FL' <br />STATE CBRT OR REGIST if C!3co 5'11'{ ?''L <br />CITY PROCESSING # ~ <br /> <br />SIGNATURE <br /> <br />. <br />.............**********.**..*****.***....*......*................. <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING if <br /> <br />ELBCTRICIAN <br /> <br />........................*......................................... <br /> <br />PLUKBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />.................................................................. <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANI CAL <br /> <br />...**..**......***...***...****....**............**.............. <br /> <br />COMPANY <br />STATE CERT OR REGIST if <br />CITY PROCESSING # <br /> <br />OTHBR <br /> <br />SIGNATURE <br /> <br />................................***.**.**.........****...**...... <br />