Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Street, Zephyrhill., FL 33542 <br />813-78P-0020 FAX: 813-780-0021 ~ ! eZ ~ y <br />DATE RECEIVED 1 ~ <br />PLANS REVIEW FEE ' <br /> <br />OWNER'S NAME G(2.A/L'/) <br />JOB ADDRESS .')'744 '3 <br /> <br />;-1- ~ lL{ Z c 1'./ /1, 1 /-1-1 <br />(dLL /lvf-:" L~-r jrt.( <br /> <br />PHONE ~/3- f7 rz -I t'rr r <br /> <br />SUBDIVISION {;IZAIVtJ 1I~(l(?O(./ m/lfl <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL ID # j'L{ -25' - 21 - 00 I C <br />WORK PROPSED: ~W CONSTRUCTION <br />o SIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />BLOCK <br /> <br />o Z.:f'OD.- 0 / i"L( (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />(91G)DITION <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />c:!rfNSTALL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br /> <br />T APPROVAL <br /> <br />o MOBILE HOME <br />~HER <br />pl--G~1, I /\/l/lil\.. <br /> <br />/4'1-40 <br /> <br />BUILDING SI ZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS &, (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />- -~ <br />/S 7 ,S' isWG, <br /> <br />35 '\ 6_Lh.L. <br />VALUATION OF TOTAL CONSTRUCTION, "l/~~. ?-:~o, _ <br />, ~ SI1t2J <br />AMP SERVICE 0 FLORIDA POWER ~ /:_5--"'- "\ <br />,///-\ ) <br /> <br />o O::::ATION OF "'CHANCIAL INSTALLAT;/) 0 <br /> <br />PERMITS REQUESTED <br /> <br />~ILDING <br />~ECTRICAL <br /> <br />$ J 'ffc.r;-t{'. 77 <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />,I <br /> <br />. .. ..."... <br />. "... -,--, .... <br />. . . .. .. .. . . ., ...,' .. . <br /> <br />'d_ <br />O' ",. <br /> <br />SIGNATURE <br /> <br />~ 1/, ru~ <br /> <br />C~MPANy_8111 C CIIJ~ rJlJ~rl ~ /V Ii(:- Ci?NT/M( FL <br />STATE CERT OR REGIST # t'"(?(() 5'7rr J'-z- <br />CITY PROCESSING * 2Ct <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />~ Jl ru~ <br /> <br />COMPANY /feE tUL r,R.((, <br />STATE CERT OR REGIST # <br />CITY PROCESSING # kP-7 <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />" <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <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 />