Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8t!\' Street, Zephyrhil18, i'L 33542 <br />813-780-0020 FAX:813-780-0021 ~ I~ I <br />. DATE RECE lVED r/ 0<-5/ tJ'/' <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME {;;rzlfNtJ /fC/Z (Zj/V 111 HI <br />JOB ADDRESS '17 J f) I Gi L.c f}1./E L ~ T / ~ '7 <br /> <br />PHONE f I ~ - '7 r Z-I () 6 <f <br /> <br />SUBDIVISION ~ (2A/V'tJ 4ft (~tlllfJfJf <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID #54 - 2-/5 ~ z...{ - bot D - DzOCoO-olfc'1 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br />OSIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />[;}-ADDITION <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />Q--rNSTALL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />O. OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />oc;;;E R <br />r:; LV#! I y\/c..Ill-1. <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ~URANT & HEALTH DEPART~PROVAL ~-;;;-./ <br />I'JG . ~ Q ~y- <br />12-;< I -S:-C( 26:;v f2<!) (t IV\. J f t- j 2.~ j) fZ-jJ61L r I / It' f I L SH ri/ <br />/ I <br />SQUARE FOOTAGE ~.J ~ <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS &. (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br />FORM~. <br />1t, I . -~~3' 1 "'I'~ <br />10'). } L.j/'O. <br />"3 ~ -~::, J2-L~C. <br /> <br />~LDING <br />~ECTRICAL <br /> <br />$ r~1'7fr, /9 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W. R. E. C. it/i ;z.€ s/-ltt/ <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />.1 <br /> <br />.-.. <br />. ... <br />.. . <br />.. ." . <br />:.' . '"., <br /> <br />SIGNATURE <br /> <br />~ J}. {I.J-t..& <br /> <br />C~MPANy~B{H {CN>T/ZULrIOtJ Or C[/l/T(ZIJe ;:::l. <br />STATE CERT OR REGIST # C [JrD 5' r; f'Jd'"2.- <br />CITY PROCESSING. ~~ <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE ~i.t..L.. <br /> <br />/J, ru~ <br /> <br />, <br /> <br />COMPANY pc;~ (:/.-./;;.::..- ,/-I e- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 1 ~7 <br /> <br />****************************************************************** <br />" <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING . <br /> <br />SIGNATURE <br /> <br />*********************************************************.,******** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />