Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Street, Zephyrhil18, FL 33542 <br />813-78P-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED g", ~O 'f) I <br />PLANS REVIIlW FEE --- <br /> <br />OWNER'S NAME c;12b4Nt? <br />JOB ADDRESS]'! ] 1./ 9' <br /> <br />/-/O/l( ?C(V fYI/-if <br />(;;( (;L ;<JVF ~r /1 S- <br /> <br />PHONE <br /> <br />rl 5 - f(~2- 10& c{ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION G!ZAI..;c /-Iolll Zor-! /IJ /-If? <br /> <br />BLOCK <br /> <br />PARCEL 10 i 7.4 - ;u;: - 2 I - 001 0 - (j'2 t?OGJ - 0) 7S- (OBTAIN FROM PROPF.RTY TAX NOTTCE} <br /> <br />o SIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br /> <br />~DITION <br />o MOVE <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />rn-nTSTALL <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br /> <br />DCOMMERCIAL <br /> <br />0# OF UNITS 0 MOBILE HOME <br /> <br />DSWIMMING POOL ~ER <br />ffl--UtZ1 ( 1V(.i,t/t <br />c:J ~URANT & HEALTH DEP~NT APPROVAL ~ <br /> <br />It)'/. /'1 >I-I/~ 12 X / I.f SCIZ"ff;; !2rJo/Vl/ J L)( 37 CAflflollr <br /> <br />DMULTI-FAMILY <br /> <br />o INDUSTRIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE 7~2- <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS &. (2) SETS OF BUILDING PLANS & (1) SET ENERGY <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />FORMS. <br /> <br />17l;-~':' j~ <br /> <br />i::>' ) <br />~5. ~. <br /> <br />PERMITS REQUESTED <br /> <br />~ILDING <br />~ECT R I CAL <br /> <br />$ 1~P/5.cf-? <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R,E.CJ...v(!lE- SHEP <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 />I S PROJECT IN FLOOD ZONE AREA 0 YES 0 NO <br /> <br />.1 <br /> <br />SIGNATURE <br /> <br />~. fJ ~ au: <br /> <br />, <br /> <br />...-................. <br />.... . <br />... .. <br />"'" ,.. '. <br />. . I . . <br />:;.: ~: ; ; ; . ; <br /> <br />. C~MPANY f5~I-I {lJIV5rIV..IC_j/v;J tJFCt7/V11T/f( <br />STATE CERT OR REGIST # /""'/3('0 ~rr? cf' L <br />CITY PROCESSING # '20 <br /> <br />BUILDER <br /> <br />p( < <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />1~ <br /> <br />A, <br />. <br /> <br />~ <br /> <br />COMPANY AGE. fL.C Co- T,(.. ( L <br />STATE CERT OR REGIST i <br />CITY PROCESSING # / r7 <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />'-. <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST i <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 P~OCESSING # <br /> <br />SIGNATURE <br /> <br />***~************************************************************* <br />