Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS' PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />B13-780-0020 FAX:B13-7BO-0021 <br /> <br />DATE RECEIVED <br /> <br />Jf -:2~-l)1 <br /> <br />PHONE CONTACT FOR PERMITTING (gl:?)9.;2F-50~ I <br /> <br />OWNER'S NAME :lOrn t".5.Pr? &chle~/ .Lbc/J'lOr- /}.'Pe/'7/~r PHONE Ctfl,J) q ~~ - ? 0 R / <br />JOB ADDRESS Lol- g 4." O~ &' ~ q \ '\ _o-Y!!- (:5-t , <br />LEGAL DESCRIPTION: LOT (S) g BLOCK II SUBDIVISION /J1~tJl"~J hrs-l.4dddl{}/--:7 <br />PARCEL ID # /~-~r;,- ()/-/JO IJJ - 0/100 -00 iO (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING ~LTI-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 />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ///~W /J!V/I-/ I -mPnllw )f~Sr;;e>;2C C <br />\ l / <br />BUILDING SIZE ;)q X r; '1 SQUARE FOOTAGE ;:)00 I <br /> <br />HEIGHT <br /> <br />IS' <br /> <br />o BUILDING <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 />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ,...., . ,,/,\ ).lw ArlvJ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. r-<-~ j <br /> <br />CYILti h u4-17i <br />f2-b~'01 Ni-J /)~( ~^- <br />~ I~~MCJ~ <br /> <br />~ <br /> <br />o W.R.E.C. 0 t- <br />P6.flJt.tlt <br /> <br />PERMITS REQUESTED <br />/' L::'. 000. ?'.2 <br />$ ~v, VALUATION OF TOTAL CONSTRUCTION <br />;),00 <br /> <br />AMP SERVICE <br /> <br />t( <br /> <br />FLORIDA POWER <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ ~K()O, 2.E- <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK ~ FRAME <br />C LJ, &;" \ <br />FINISHED FLOOR ELEVATIONS ~7 j <br /> <br />o STEEL 0 OTHER <br />IS PROJECT IN FLOOD ZONE AREA~ YES 0 NO <br /> <br /> <br /> <br />cO~g~;R$ECTIQN I <br /> <br />COMPANy~A/I//~.t5t2Ch/e/ (P;y:lrWYuJt? kL <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST # C ,(Jcor;tJ;;) 9 'f <br /> <br />****************************************************************** <br /> <br />ELECTRIC~ <br />SIGNATURE . A <br /> <br />~?{~ <br /> <br />COMPANY /?1cr/J'1 F/~cry(;- Ip?c. <br />. <br /> <br />STATE CERT OR REGIST # cCtl O/{} :5 / ~'f <br /> <br />****************************************************************** <br /> <br />PLUMBER COMPANY3:/?, /Jt:Jrfr Pkfflt5lhc) 1~__ <br /> <br />IIGNATURE~';/;AL: STATE CERT OR REGIST" C;=;:::a5'7~O_S <br /> <br />****************************************************************** <br />MECHANICAL COMPANY ~ '~.yr~/J' ~ 1- O:elt-.:y <br /> <br />SIGNATURE STATE CERT OR REGIST # <l~- I{j>I77,- <br /> <br /> <br />*w*************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />