Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />. BUILDtNG DEPARTMENT <br /> <br />DATE RECEIVED 1-/ f- D i <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME 1Qd~/ <br /> <br />, <br /> <br />JOB ADDRESS ~5" Id X <br /> <br />L eCNJ yO! <br />/ X 'tt1 :5f <br /> <br />" . <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL In n / I- ,:j (p - d /- ()::\ /{J - d () /~; ~L ~OR~'1N FRO: PBO~ERTY T'~ NOT,CF.l <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION o ALTERATI ON ~EPAIR o INSTALL <br /> OSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />~ <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />'7J{ 7JnO? <br /> <br />DESCRIPTION OF WORK <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 & (I) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />-...-..--......., <br /> <br /> <br /> <br /> <br />, "1 Ij~ <br />~- -~ <br />. -- <br />" <br />..___u <br /> <br />o PLUMBING <br /> <br />W.R.E.C. ....---) <br /> <br />/' <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />. 0 GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 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 />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />***********.******************************************************* <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />OTHER ~~ <br /> <br />SIGNATURE - .. - ~ <br /> <br />***************************************************************** <br /> <br />COMPANy ~T(t VJ r nn~J (li)fY)/ Jnc. <br />~ STATE CERT OR REGIST # (' rr, ~ /\~a:5;"")C)5 <br />CITY PROCESSING # a 7,.1 <br /> <br />***********************************************************k***** <br />