Laserfiche WebLink
<br />MAR/31/2005/THU 11:40 AM <br /> <br />ZEPHYRHILLS BUILDING <br /> <br />FAX No. 813-780-0021 <br /> <br />P. 002 <br /> <br />CITY OF ZEPBYRHILLS PERMIT APPLICATION <br />BurLDING DEPARTMENT 5335 8"8 St, ZQphyrhi11S, ]!"I. 33542 <br />613-760-0020 FAX: 813-7BO-0021 <br /> <br />DATE ~CEIVED <br /> <br />owNER'S NAME <br /> <br />IJS t\o~ Co\fCr~~llr- <br />7~~ ,k-F?t7 .ST <br /> <br />Ll.-A^ot.l ' <br /> <br />PHoNE <br /> <br />9;3 -7G,Cj -5:1.77 <br />e'l--I. ',,3$ <br />'l!I3 ~~ 7 &1' - 5 ;)...71 <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION C r-e 5/ vfe \..l If>' II S' <br /> <br />PARCEL ID * <br /> <br /> <br />-~ <br /> <br /> <br /> <br />N <br /> <br />PROPOSED <br /> <br />OSrGN <br />USE~GL FAM1LY DWELLING <br />o COMMERCIAL <br /> <br />DMOVE <br /> <br />o ALTERATION <br />o DEMOLISll <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: <br /> <br />CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OMOLTI-FAMILY <br />o INQ.USTRIAL <br /> <br />Off OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />DOTHER <br /> <br />DESCRII?".rJ:ON OF WORK <br /> <br />c=J <br />New <br /> <br />RESTAURANT '" HEALTH DEPARTMENT APPROVAL # <br /> <br />sf{( j Mqole/: 8//s7-c?( Cr4-Y7//~ zoo~ <br />SQUARE FOOTAGE ZZtfi-s/ HEXGHT <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 BUJ:LOING PLANS & (1) SET ENERGY FORMS. <br />IF srGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.. <br />PROPERTy SURVEY REQUIRED FOR ALL NEW CONSTRUCTION- <br /> <br />PERMITS REQUESTED <br /> <br />~ BUILDING <br />o ELECTRICAL <br /> <br />$ /20; t/?6 <br />../-: S:-O AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~f <br /> <br />Progress Energy <br /> <br />o <br /> <br />W..R..E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION 6F MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION~BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AHEAD YES <br /> <br />~O <br /> <br /> <br />sIGNATURE <br /> <br />;~~ <br /> <br />.,.." <br />***....*******************************...************************* <br />/>>/. ......./7 . <br />~x <br /> <br />***~******.***************..**.*.**.*..*- <br /> <br />COMPANy~~~~4ll~lO ~~'c <br />e RoO \ LfSOl' <br /> <br />ELECTRICXAN <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST j <br /> <br />PLUMBER <br /> <br /> <br />COMPANY <br /> <br />l)... vi LoVi'- pl"'M~l.-t <br /> <br />STATE CERT OR REGIST . e F'C t ~ ~ (.;)-<1 <br /> <br />MECHANICAL U~H***~?~/*~H***H**~*~~~~~~f~~1HsJ1,o~*Ar~** . <br /> <br />SIGNATURE _~/~ . STATE CERT OR REGIST . c.A<-o.s-oLf( (:) <br /> <br /> <br />=~ ~~~. ..~.. ........... '~::::"c: 5~i;;;'"'''''' <br /> <br />SIGNATURE y~L.n -' STATE CERT OR REGIST * CC -CoS79<:J I <br />