Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />. BUILDtNG DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANs REVIEW FEE <br /> <br />OWNER'S NAME C6..l""ltoN T~~l~"-lJ <br />JOB ADDRESSS~\\ ?f\~Ke,s:, <br /> <br />.PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />PARCEL ID # j'L ~"2j o?'*' <l':fxo (b]O <br /> <br />BLOCK <br /> <br />SUBDIVISION C fV~<Jf-,J /'L ~--rr' <br />(OR~ATN FROM PRQPEH~Y ~AX NO~TCFJ <br /> <br />''M REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />-:J <br /> <br />OMULTI - FAMIL Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE He <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />-~,~~ <br /> <br />BUILDING SIZE <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 BUILDING <br /> <br />$- ~I OQ .00 <br /> <br />PERMITS REQUESTE~ <br /> <br />o ELECTRICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o PLUMBING <br /> <br />AMp SERVICE <br /> <br />o FLORIDA POWER <br /> <br />D W,R.E,C.. <br /> <br />o MECHANICAl, $ <br />o GAS ~OOFING D SPECIALTY <br /> <br />- VALUATION OF MECHANCIAL INSTALLA1'ION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES D NO <br /> <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />*****************************************************************- <br /> <br />COMPANY <br />STATE CERT OR REGIST H <br />CITY PROCESSING fL <br /> <br />SIGNATURE <br /> <br />PL~ <br /> <br />*****-***-******************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING ff <br /> <br />SIGNATURE <br /> <br />- <br /> <br />**********~********************************.**..*.*...************ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # _ <br /> <br />SIGNATURE <br /> <br />MECHANI CAL <br /> <br />OT~~ <br />SIGNATURE4~ .JI{v1,~ <br /> <br />*..*********.***..*********************.************************* <br /> <br />COMPANY_ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br />- <br /> <br />SIGNATURE <br /> <br />COMPANY h~(1 VJ r nn5ku (l:i)rYJ+ )nc . <br />= STATE CERT OR REGI ST ff _ C (' C. . L'} Dl, -5; -')1) <) <br /> <br />CT~Y PRnr~aaT~~ H <br />