Laserfiche WebLink
<br />DATE RECEIVED I Of p..5/0 y <br />PHONE CONTACT FOR PERMITTING 3/:!" i9~ -17a:5 <br /> <br />OWNER'S NAME :ke? s: c~e PHONE j;5~ff9~-W<f3 <br />JOB ADDRESS ~/,/ /11';. -' -z66 '/fj/J/IJ!> Ii J5f'f(j . J .. <br /> <br />LEGAL DESCRI PTION , LOT IS) 17/ 19/ :2(/ BLOCK /98 SUBDIVISION /fb.e / /l;6t: 9j <br />PARCEL ID # /- :tb./:<./ -tJ(}/{J-/1!tJlJ./ tJ/~{} <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, E'L :33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />o SIGN <br /> <br />Ji1 ADDITION <br />o MOVE <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />)dALTERATION M REPAIR 0 INSTALL <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL./;, ,f2; 12 <br /> <br />!rIJJJI7lIJt1' IF / &'11&70# 112/IfIIST ((tJrIlI1 0/ L~ /3?Jr/ ~",~ <br /> <br />SQUARE FOOTAGE HEIGHT tJ(~, <br /> <br />DESCRIPTION OF WORK <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 />$ <br /> <br />~ {}tId, Ctfl <br />:J,dIJ <br /> <br />PERMITS REQUESTED <br /> <br />M BUILDING <br />~ ELECTRICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~ <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />~ PLUMBING <br />~ MECHANICAL $:( 5()(J I tltl VALUATION OF MECHANCIAL INSTALLATION <br />o GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br />TYPE OF CONSTRUCTION: 0 BLOCK ti FRAME <br />C). LJ.tvt~ <br />FINISHED FLOOR ELEVATIONS _~ <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~ NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />******************************************* <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />~"l.,t)~ <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />*************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />i~ {I vJ re-r <br /> <br />I <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />****************************************************** ~ <br />COMPANY ,LfA rI/f. 'S jJ/z'O.;(1/;tPVE"- G""".s-t' <br />. '.- <br /> <br />STATE CERT OR REGIST # ~ CO V.J'7 y.J" <br /> <br /> <br />MECHANICAL <br /> <br />** ************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />