Laserfiche WebLink
<br />OWNER'S NAME -.t!ltt l!., ph er-s v h LV ,t / (,' Gv W'\ <br />JOB SITE ADDRBSS(1:4'f:'iidOj!/t0~~JS (,uJO.-y .~ dr <br />LEGAL DESCRIPTION: LOT(S) 5' If +O~S? BLOCK 0 <br />PARCEL ID # 03-~V,;-;U-:-O/30'-O[JJOO -05'70 <br /> <br />CITY OF ZEPgYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Sth STREBT ZEPBYRBILLS, PL 33540 <br />Phone:S13-7S0-0020 Pax:S13-7S0-0021 <br />DATil RECEIVED <br />PLANS REVIEW PBE <br /> <br />PHONE CONTAC(jB) 7/1- 'J YI5' <br /> <br />SUBDIVISION <br /> <br />Zr?f/'l '1 r R./cij € <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[J ADDITION <br /> <br />[J ALTERATION <br />[J DEMOLISH <br /> <br />[J REPAIR <br /> <br />IStINSTALL <br /> <br />[JSIGN <br /> <br />[J MOVE <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br /> <br />[JMULTI-FAMILY <br /> <br />[J# OF UNITS <br /> <br />it'MOBILE HOME <br />[J OTHER <br /> <br />[J COMMERCIAL <br /> <br />[J INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK New )1?abJ/~ hDrne '~P/uC'fl men f <br />BUILDING SIZE '3 D X Co 0 SQUARE FOOTAGE jg-OO <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 />g"BUILDING <br />n( ELECTRICAL <br />~ynmING <br />~ECHANICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ 50. 000 /~OOOVALUATION OF TOTAL CONSTRUCTION <br />( I <br />. AMP SERVICE 0 FLORIDA POWER 0 W . R. E . C . <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />[g/t>THER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDBR ~. <br />SIGNATURE, ~1<Jrtn^'- <br /> <br />COMPANY acd-v r TV-CCli1 SoD .f <br />STATE CERT OR REGIST # ::n.f-OOOO<ltJ.J7 <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />BLBCTRICI~ _ <br />SIGNATURE 'i~~ ~ <br /> <br />COMPANY J'o~do V\.... <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />'-1 I.' <br />1::; t e e..'n- I c. <br /># E Rooo 8''1 <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />~ LfYI.&th-.. <br /> <br />COMPANY Jo y- do Y\-l:>/ \A. ~ b I' v\.~ <br />STATE CERT OR REG 1ST # R f:' 00 t..j ;) 3 Cc 8' <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />* * * * * ** * * * * * * ** * * * * * * * * ** * * * * * *** * ** * * * * * * ~* * * * f' * *i'* *** A~ ** ,* * * * * *'L ' <br />""CBANI~ COMPANY \:SCLhr.s Irc.o"cL "c.u~~ <br /> <br />U/Vl ST, ATE CERT OR REGIST # c... ~ <!.D LI ~ c, t..( ~ <br />SIGNATURE ~ r r ~ CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />