Laserfiche WebLink
<br />. <br /> <br />CITY OF ZEPHYRHXLLS PERMIT APPLICATION <br />BUILDING I)ZPARTMENT 5335 aD st., .?;.phyrhiJ.~s, FL 33542 - 6~ <br />813-780-0020 J'AX: 813-780-0021 l.-J -lJ - <br />~ DATS :RECUV1\O ~ _ <br />. KohtV! lAh IKQV . __ . th -- ~ <br />PHONR CONTACT FOR PERMITTING~ - Y ~ 0 - 7~ ~ 0 lL.: j( <br />,35;2, - 510 -' fry) I ~ ) <br />OWNER'S NAME:::fa \JlJ\"" tbleJ.s} LLC __ PHONE <br />~~~~ss ~ 61 U b W 2-e.-~(hl\15 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />FARCBL 1D # <br />WORK PROPSED:~NEW CONSTRUCTION <br />OSIGN <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />o ADDITION <br /> <br />OALTERATION <br />o DEMOLISh <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />PROPOSED USE; [JSGL FAI~ILY DWELLING <br />o COMMERCIAl. <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Dt or UNITS <br />)(SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o ~STAOflA~ & HEALT~ARTHENT APPROVAL <br />OilSCRIP'fION OF WOJU{ ,C1L) 1mJLl:] I V'C) , <br />BOILDING SIZE SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />P~SIDENTIAL: ATTACH (2) PLOT PUU~5 & (2) SETS OF BUILDING PLANS & (1) SET <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (ll SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />ENERGY F'ORNS. <br /> <br />o BUILDING <br /> <br />PBRMl:TS REQUESTED <br />$ 40., ~~~ DO;ItJtJ VALUATION OF TOTAL CONSTRUCTION <br />I \\.{)..Q I AMP SERVICE: 0 Progress Energy 0 <br /> <br />-tf311Y <br /> <br />o eLECTRICA.L <br />o PLUMBING <br />o MECHANICAL $ <br /> <br />W.R.E.C. <br /> <br />VALUATlON OF MECHANCIAL INSTALLATION <br /> <br />TYPE OF CONSTRUCTION: (J BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />BlA ~ #- <br />35~ - '-tl3--7letJ5 <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED rLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # ('~)(i03:5 '0SC( <br /> <br />.ucnlc~:#5~""'''''''''''''''''::::~u:&~~ ~ <br /> <br />< SIGNATURE~ STATE CERT OR "GIST. r:;!2.(Yf) ::t,,1SR' <br />I{/or~ - <br /> <br />kL1( . <br /> <br />***~********************************************************~***** <br /> <br />PLrae&a /iiJ <br />~ SIONA'~ --;'__ LL <br /> <br />COMPANY <br /> <br />ItJ~N <br /> <br />V~J <br /> <br />STATE CERT OR REGIST * <br /> <br />MECHANICAL <br /> <br />**********************.***********************************~******* <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR RBGIST # <br /> <br />**************************w****************~********************* <br /> <br />OTHEA <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />StATE C8RT OR REGIST * <br /> <br />'d t;989'o~~ <br /> <br />SII]H~AHd3Z :JO <br /> <br />10 <br /> <br />~iV 8 8: J t tOO 3 'it. A t I~ <br />