Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />. BUILDING. DEPARTMENT <br /> <br />J. ;.~ (/1 <br />DATE RECEIVED ~ . <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME:Ih () ~ J"C f)--H- <br />JOB ADDRESS ~t?!ltp / 3R Jd.[) !/'i11 Rvl__ <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />) /- C;U 0 -a 1-60 J ()- ()ee4 (:) 0- OOdi'd,IN <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />)0 REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING lStMULTI-FAMILY 0# OF UNITS <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />~ <br /> <br />DESCRIPTION OF <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />WORK K..(J_- r~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />o BUILDING <br /> <br />$ <br /> <br />'-/, ie 5!J <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />o W.R.E.C.. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />~ ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />***********~****************************************************** <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER 'h~ <br /> <br />SIGNATURE - - - - . +, <br /> <br />COMPANY ~~(1 V) lnnJl-,() {li)fY)f )nc . <br />STATE CERT R REGIST # (' ('r. ~ 17)d..1Sl5tl'5 <br />CITY PROCESSING # d 7..5 <br /> <br />***************************************************************** <br />