Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Street, Zephyrhill., FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br /> <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME CM/u'{) /-/-/)/(( Zo;V j//l Nfl ' <br />JOB ADDRESS ::5 7t:;c;-o L o(L(3/V/+ /ll/E <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PHONE ?/3 - 7E2 -/ () fa Lf <br />Lo f (3 L <br />SUBDIVISION 0~4tvtl /.he ( ?41/ IY'J./f <br /> <br />PARCEL ID # 34 -75 - 2 / - Cr)I{J - 0 zrt/O - 01 2- <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ~W CONSTRUCTION Ud--1mDI TI ON OALTERATION o REPAIR mNSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: GSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL ~ER IlLv(n I,{;UJ/t- <br /> <br />DESCRIPTION OF WORK <br /> <br />D~. URANT & HEA~TH. RTMENT APPROVAL ~ <br />~ 7/& -:3J= <br />ICy I Z-!:He~ I Z-x I . L!Zfit~;V' !2(}Otl/l / 17-(< } L fL r <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />'720 <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~UILDING <br />UYELECTRICAL <br /> <br />$ IlfLf1} O( <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE:. <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. INIIZC: sf-lf'o <br /> <br />o PLUMBING <br />o MECHANICAL <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 />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />...- <br />.H . . .... <br /> <br />SIGNATURE <br /> <br />~ 4, aLJJ <br /> <br />COMPANY 15 (/-/ {o/vsr;zu(. r/ol../ of Cf'ivrfAL {:C \ <br />STATE CERT OR REGIST # (" lSC 0 ~ 7'7 pz. <br />CITY PROCESSING # 7h <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ //~ ~J2 <br /> <br />COMPANY fie C F L-C C ,!2{ C <br />STATE CERT OR REGIST # <br />CITY PROCESSING # IF 7 <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br />'- <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />********************************************~******************** <br />