Laserfiche WebLink
<br />CITY OF ZEPgYRHILLS PERMI]~ APPLICATION <br />BUILDING DEPARTMENT $335 8th STREET mWHYRHILLS, FL 33540 <br />Pho:n.e:B13-780-0020 Fax:B13-780-0021 il-. d_O" ,i"J" <br />DATE RECEIVED ----I-L- ~ "t' <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME ~r:~~or ma.c....CCL <br />JOB SITE ADDRESS '?J g 0 3 \ Nor ~ ft-VL <br /> <br />PHONE CONTACT~13_-""? 52 - ~z.2.~ <br /> <br />, - <br /> <br />LEGAL DESCRIPTION: LOT(S} <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # (OBTAIN FROM PROPERTY Tn"'. NOTICE) <br />O~-:)0 -;:)I-OODO-ODCoOD- ODIO ~. <br />WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION DAL'J~]:!:RATION 0 REPAIR 0 INSTALL <br /> <br />~IGN <br /> <br />o MOVE <br /> <br />o DHI>10LISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />pckOMMERCIAL <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o JIIIOBILE HOME <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o RESTAURANT &: HEALTH DEPARTMI1:NT APPROVAL <br />DESCRIPTION OF WORK ~b+a"l(: ('\ d I\D ('\ , l\ ~ -k- d cL-...o.l"\.^,l <br />BUILDING SIZE ., 5' X <.0 0 . SQUARE FOOTAGE '-15 D 0 <br /> <br />l-e--k-~ <br />15 <br /> <br />o ELECTRICAL <br /> <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS &: (1) m~T ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONll~['RUCTION. <br /> <br />FORMS. <br />~~(jNi- <br /> <br />PERMITS REQUES'J~]B:D <br /> <br />tJ. BU~LDING <br /> <br />$ a oYo.()O <br /> <br />VALUATION OF TOTAl, CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MEClUll.rCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br />o NO <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY_ " c.v 5 -(; '? <br />/ I. STATE C"iT OR REGIS~ C c-C::;;', 0> d< . <br />~,rZ/f-vf.-4 CITY PROCESSING # /U!< _ ~..~ <br /> <br />**** ** ** u u ** * **. **. ** *** * u* u. u *****.. u * **** 11.**** ** y<n * *** ~.. <br /> <br />COMPANY~_ <br />-.---".- - ,------'--, -~-.'----STJITE'.:cU]rr-OR'REGI'ST.~'#-' <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />*****************************************~'.*********************** <br /> <br />PLUMBER <br /> <br />COMPANY-- ' <br />STATE cm~T OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*************************~***************i'************************ <br /> <br />MECHANICAL <br /> <br />COMPANY__ <br />STATE CgRT OR REGIST, # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE cm~.T OR REGIST #= <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />