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 />BUILDING DEPARTMENT 5335 8"8 St, Zephyrhill.s, l!'L 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RlilCE IVED <br /> <br />owNER'S NAME lJ S <br />JOB ADDRESS '7,51 <br /> <br />t\o~ Cctf&P\~llr-- -. Le..f\^~ ' <br />~/'{'-~~~~/-1 Cr-~- <br /> <br />PHONE <br /> <br />9g-7&CJ -5;1./7 <br />e'f-J../143$ <br />?Jt3-~7&'7 -SJ..:n <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br /> <br />Cre 51 vi-e \,J If,' 115 <br /> <br />LEGAL DESCRIPTIO~: LOT(S) <br /> <br />PARCEL ID * <br /> <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />N <br /> <br />WORK PROPSEO: <br /> <br />DADDITION <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED <br /> <br />D SIGN <br />USE.x;GL. FAMILY <br />o COMMERCIAL <br /> <br />DMOVE <br /> <br />DWELLING <br /> <br />DMULTI-FAMILY <br />D IND,USTRIAL <br /> <br />D If OF UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE HOME <br />o OTHER <br /> <br />DESCRIP'J:ION OF WORK <br /> <br />C::J <br />New <br /> <br />RESTAURANT & HEALTH DEPARTMENT ~PPROV~ tV <br /> <br />sf{( j A/l~/: 8~"z5:/-t/?1 L:J/~,,/~ <br />SQUARE FOOTAGE 2Z~ <br /> <br />zoo~ <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILOING PLANS & (1) SET ENERGY FORMS. <br />IF SrGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION. <br /> <br />M BUILDING <br />o ELECTRICAL <br /> <br />$ /Z~OrY6- <br />, <br /> <br />,/. S- 0 AMP SERVICE <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />9f <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 OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION~BLOCK <br />FINISHED FLoo~ ELEVATIONS <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~O <br /> <br /> <br />. BUILDER <br />SIGNA;O~ <br /> <br />STATE CERT OR REGIST . Cf3C/Z.S/r/-4l.. <br /> <br />SIGNATURE <br /> <br />u~...... <br /> <br />- <br /> <br />~*.***.**************~.*.*******.***.*.~ <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />8t ~..J- <br /> <br />P4Sl0 ~~(: <br />eRoo,~SOl' <br /> <br />STATE CERT OR REGIST t <br /> <br />PLUMBER <br /> <br />**.*...*.**.*******W*****************......****k****************** <br /> <br />. ~rf?t' / =MPANY lJ",,,,-.{ Lov'}" pl"M~lAe <br /> <br />$~ ____ STATE CERT OR REGIST # CF-C l4d {.;)-"1 <br /> <br />:"'...**** , **** **"****w*********"''''*****''T*~t:;*"w***,...t.:*",,,,w**r*** <br /> <br />< COMPANY~r--z-L==tf'''1 ':::>..l..Q()t'.. Ats. <br />STATE CERT OR REGIST # CA<:-os-o Lf( 0 <br /> <br /> <br />S:tGNATURE <br /> <br />MJ!:CHANICAX. <br /> <br />SIGNATURE <br /> <br />~"ER ~~~~... ~... H......... .~:~:::.:.. c: sf:;E ~......... <br /> <br />SIGNATURE t/ - ~. STATE CERT OR REGIST *_ CC -CoS799/ <br />