Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING D'PAR~NT 5335 8~ 8treet, Zephyrhi11o, FL 33542 ~ ~ <br />813-78P-0020 FAX,813-780-0021 ~ '2-0. vi <br />DATE RECEIVED t 0 <br />PLANS REVIEW FE <br /> <br />JOB ADDRESS <br /> <br />Cf2/-f;Vt/ <br />J'I!;Lf '5 <br /> <br />/-Io/Z ( 2o(ll /)1 1-1-1 <br />t--A jl/j) I:; A Vi: <br /> <br />PHONE <br /> <br />OWNER', S NAME <br /> <br />Rlj- rrt2- /o~'{ <br /> <br />Lor- <br /> <br />79 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION.6RAtVO /-/()!?-f Z'6/J iJ11-/f7 <br /> <br />BLOCK <br /> <br />PARCE~ 10 # 34--2-C;;~2( - rot 0 - 026"00- 0 '790 <br />WORK BROPSED: ~W CONSTRUCTION ~DITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />OSIGN <br />PROPqSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />[J MOVE <br /> <br />OALTERATION <br />[J DEMOLISH <br /> <br />o REPAIR <br /> <br />0"INSTALL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />[J1t 'OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />IaQTHER <br />t:)t-v #1 { Nv JA,. <br /> <br />DESCRI!PTION OF WORK <br /> <br />c:J ~ESTAURANT & ~TH DEPARTMENT APPROVAL~ <br />~'. ~ (~ <br />/2 X 12- .> (-Ir:tJ, I Z-.x IIf ~c-,e.ElyJ j;?lJo//;t I 2- X 5 ({) CAfZIlolZ--;- <br />, I <br />SQUARE FOOTAGE G72 HEIGHT <br /> <br />BUILDI!NG SIZE <br /> <br />RESIDE~TIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMME~CIAL: .ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PBRMcrTS REQUESTED <br /> <br />~UILDING <br /> <br />$ I ~ 'J7 if I I I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~LECT~ICAL <br />o PLUMBtrNG <br />o MECHANICAL <br />o GAS I [J ROOFING <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />Ow. R. E. C. Ld /I~E .5 flE.f} <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE Of CONSTRUCTION: [J BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />I <br /> <br />FINISHtD FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />..1 <br /> <br />SIGNATIDRE <br /> <br />~VC-L /.:), tZ1~. <br /> <br />. <br /> <br />..q,..,<-.: <br />'",:",'::,,:,; . Ii;.. ..... .. q..... .q. <br /> <br />C~~~AN~ [5"( H L O;-i~ ravel{ ON vF CENTMc <br />STATE CERT OR REGIST # ~l;.,o5"7 '7 cf"7- <br />CITY PROCESSING It ?- (, <br /> <br />BUILDE~ <br /> <br />pc <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ fl. ~~ <br /> <br />COMPANY 4cIf ;:; t. f(;, T/L { C- <br />. <br />STATE CERT OR REGIST # <br />CITY PROCESSING * / r7 <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br />'. <br /> <br />PLUMBER <br />SIGNATJRE <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING It <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST * <br />CITY ~ROCESSING * <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATUIRE <br />, <br />i <br />I <br />I <br /> <br />***************************************************************** <br />