Laserfiche WebLink
<br />SEP/27/2004/MON 09:38 AM ZEPHYRHILLS BUILDING <br /> <br />FAX No. 813-780-0021 <br /> <br />P. 001/00 I <br />~{fY\(.(;# 3.;J.37 <br /> <br />CITY OF ZEPBYRBILLSPBRMIT APPLICATION <br />aUILDING DEl'ARTM8NT 5335 8ft S~, Zgphyrhille, FL 33542 <br />813-780-0020 FAX:B13-7BO~0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CON'.rACT FOR PERMITTING <br /> <br />OWNER'S NAME ""06 ~('Q~~~ PHONE <br />JOB ADDRESS '?<l\ .1. &. OQ . ~h)~ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL In 1/ ~ -~S'-Cl..L-C:OIO-f)'/OO -O'JOh (OBTAIN FROM PROPF.RTY TAX NOTTr:~l <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATION o REPAIR D INSTALL <br /> oSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0* OF UNITS o MOBILE HOME <br /> 'OCOMMERCIAL D INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK. ~~,_ll/~hon 'i)~.~ (.O~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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. <br />PROPERTy SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL $ <br /> <br />o GAS ~OOFING 0 SPECIALTy <br /> <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES 0 NO <br /> <br />! ~ ~. ~ - _ ~.... 'I - ---=- - -+ ~ r ~. -, _ ~ ~ , . '"' _ ,-""; ~~, . ~~ <br />L-_.......:.-. _ ____ __ ~_~~_ __~ ~ ~_____~_ __ _ __ . .. <br /> <br />ai.JILDI!R <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST 1/ <br /> <br />***********-****************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br /> <br />********************************************,********************** ; <br /> <br />PLUMBER <br /> <br />COMPANY. <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGrST # <br /> <br />MBCHl\NlCAl. <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br /> <br />. . .. . :************************.****************~******************* . <br /> <br />""",. ~ """,.., m('C<\ u..c . <br />""NA'ORE. -. . -. - - _ -::;; · "An "">0' ~,,;. CU:o S'i( ',;;.}, 'I <br />