Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS ~J!i.t<MJ. ".1" ,'U.....'-'.n.... ....'-'... <br />BUILDING DEPARTMENT 5335 STH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX:S13-7S0-0021 <br /> <br />DATE RECEIVED <br /> <br />-~ ---- <br />.:) -;/-oS <br /> <br />PHONE CONTACT FOR PERMITTING S()Z -23 d /S9$ <br /> <br />o <br />OWNER'S NAME S( 1//;'-" / IlL <br /> <br />JOB ADDRESS 67 ..] ~ C-i- A Ll <br /> <br />PHONECW? 7!?z .s-:'-:;-:z ? <br />'Bu/j) Z~?H!Jrf-/JLLS' ..fL. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 11-:Uf/- f...r-no f U- o{)"buu --- 0 1-5 c) <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />OSIGN <br /> <br />lir-'ADDITION <br />o MOVE <br /> <br />~LTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~OMMERCIAL <br /> <br />OMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM] <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK A~ I) I Tt () tV. Cn ~ T o/' I~'--JJ' <br /> <br />BUILDING SIZE <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 JORMS" <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ~ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. 5 z I 5"'0/ <br /> <br />') )L~l <br /> <br />PERMITS REQUESTED 13&" <br /> <br />SQUARE FOOTAGE ~ I:y (/7 <br /> <br />, AI" <br />HEIGHT 1<;' .3 <br /> <br />I <br />aJ BUILDING <br /> <br />qi ELECTRICAL <br /> <br />ij}/PLUMBING <br /> <br />$ VALUATION OF TOTAL CONSTRUCTION <br />'S'}.\STI N~ AMP SERVICE ci Progress Energy 0 <br /> <br />IGYMECHANICAL <br />o GAS ~OOFING <br /> <br />cO <br />$b/O{) <br /> <br />o SPECIALTY <br /> <br />?~ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />TYPE OF CONSTRUCTION: aYBLOCK <br /> <br />o OTHER <br />ltr FRAME <br /> <br />~STEEL <br /> <br />o OTHER <br /> <br />I <br />FINISHED FLOOR ELEVATIONS ~"'~hti 10~ <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES I8t NO <br /> <br /> <br />BUILDER ~ <br /> <br />S I GNA'rJlRK/"'~1 <br />, . . <br /> <br />COMPANY ~}..:r71(c;rrJ (i.:.L,--.,;7) jY\'-:;:{'A. it.- t)/I'r< <br /> <br />STATE CERT OR REGIST # c: se C)0 /6 5 J <br /> <br />****************************************************************** <br /> <br />COMPANyAll-:- ~ l\J - ONe lL~c;; IC- <br />STATE CERT OR REGIST # f:'K!-('01C:;3 5d <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />...~ <br />~ 'YJ,,^ b~r' <br />hill - _J,lllCAL <br /> <br />~ ~ ~ <br />COMPANY.j}-\\I'OO'~or'f\ I C.'::; ilJC <br />STATE CERT OR REGIST # CAe )5865'{ <br /> <br />c('.~ c-\--\ f-')N lC~J \.. <br />p~USl!.n <br /> <br />*****************************************************~********** <br />COMPANY LLQ teA, 11. u-v""\o I N(~ <br />. <br /> <br />STATE CERT OR REGIST # ere I ~j2G J ~c; <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />