Laserfiche WebLink
<br />LuJnar <br />JOB ADDRESS 1 ~ ~ <br /> <br />OWNER'S NAME <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br />.~ C\~\'-t <br />PHONE CONTACT FOR PERMITTING ~\&-q 'l- z.&&<\ <br /> <br />t-hft/S , LA16 <br /> <br />PHONE 813 - cgg2.. - ~h631l3 <br /> <br />fl"c(~Nc\l \ \ \e. e, (c. \ ~ <br />\02> <br />~"d6-dl-~-qS -l~~ <br /> <br />SUBDIVISION W..l-fl/LuJ <br /> <br />r/J <br /> <br />PARCEL 10 #. <br /> <br />LEGAL DESCRIPTION~ LOT (S) <br /> <br />.BLOCK <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />OSIGN <br /> <br />o DEMOLISH <br /> <br />o MOVE <br /> <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK L5I 0 set <br />BUILDING SIZE. 60'j. 3~. ~ <br /> <br />UCll1U/~ r;,fL-J-tMt ~J- <br />SQUARE FO TAG: ~3C::}-\ <br /> <br />'lf~ ..,n <br /> <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 BUILDING PLANS & (1) SET ENERGY FORMS, <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />· ~U.LDING <br />, ~LECTRICAL <br />,. ~MBING <br />· ~MECHANIC~ · <br /> <br />o GAS t ~ROOFING <br /> <br />PERMITS REQUESTED <br /> <br />.$ \ \5)c:OC:[) <br />" ~OO <br /> <br />VALUATION OF TOTAL CONSTRUCTION ~ <br />AMP SERVICE 0 Progress Energy ~. W. R. E. C. <br /> <br />$-3;500 <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: if BLOCK 0 FRAME <br />FINISHED FLOOR ELEVATIONS ~ <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />~O <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />dk~ lD~ <br /> <br />5 <br />CIJC tJJ-j~&9j <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />cj((1J{h{ <br /> <br />COMPANY &lIPOJ1... ~ <br />STATE CERT OR REGIST # 00/3/3 t- <br /> <br />~~ <br /> <br />****************************************************************** <br /> <br />oJ<{, f) COMPANY ~+ <br />(~ ~ STATE CERT OR REGIST # CFc.,o'-/J 99 >.? <br /> <br />***** *** *** **** *** *** *** ** * *** ** *** ***** * *::iF * ** * *.p * * ** * * ** * * * * <br /> <br />~ Jl COMPANY. L~ '4fJliJ to ~ <br />AJJ~ STATE CERT OR REGIST # CALLJ50 ~/ 0 <br /> <br />":;HHHHH"~HHH'H~H::~:::: 'CH~'Z;;"~+-- <br /> <br />1)(~0 jJ)~. STATE CERT OR REGIST # 11c-~3 <br />