Laserfiche WebLink
<br />MAR/31120,05/THU II: 40 AM <br /> <br />ZEPHYRHILLS BUILDING <br /> <br />FAX No. 813-780-0021 <br /> <br />P. 002 <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 ara St, Zuphyrhi11.s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE Rli:CElVED <br /> <br />owNER'S NAME lJS t\o~ G,tfGrJ"br- - Le..A^qj <br />JOB ADDRESS . 1]'7:1..1 ~~cA.~J///~ C.~ <br /> <br />PHONE <br /> <br />9,3 - 7(/1-5:1.77 <br />e'fI.'l435 <br />'b13~7(/j' - 5;2.:1> <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br /> <br />SUBDIVISION Cre5/vi"t\,J lIill$ <br /> <br />BLOCK <br /> <br />pARCEL ID * <br /> <br />LEGAL DESCRI~TIO~: <br /> <br />N <br /> <br />WORK PROPSEO; <br /> <br />PROPOSED <br /> <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br />USE~GL. FAMILY <br />o COMMERCIAL <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o MOVE <br /> <br />DMOLTI-FAMILY <br />o INf\USTRIAL <br /> <br />Off. OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />DOTHER <br /> <br />DWELLING <br /> <br />c=:J RESTAURANT <br />ew sf{(. <br /> <br /> <br />BUILDING SIZE <br /> <br />DESCRIPTXON OF WORK <br /> <br />SQUARE FOOTAGE <br /> <br />ZZcYC/" <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 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 />D PLUMBING <br />o MECHANICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ /20 (/8"6 <br /> <br />/.. ~D AMP SERVICE <br />, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />W' <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />Progress Energy <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o GAS 0 ROOFING D SPECIALTY <br />TYPE OF CONSTRUCTION~BLOCK . <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />. BUILDER <br />SIGNA;U~ <br /> <br />:ELECTRIC:D\N <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />MECHAN:X:~ <br /> <br />SIGNATURE <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 />STATE CERT OR REGIST . <br /> <br />....~ <br /> <br />c../ <br /> <br />***..***~**.****.*******.*...************- <br /> <br />COMPANY p~..J. P4.Sl.o ~~<:: <br />eRoO' 4..fSC1\ <br /> <br />STATE CERT OR REGIST i <br /> <br />***.*....**************-..***********.+***********..************** <br /> <br /> <br />COMPANY lJ... Vl-.A. LOlli" pIVM\l..f <br />STATE CERT OR REGIST ~ ere If d (d-"i <br /> <br />***************************~*:***;~******(.*** <br /> <br />. COMPANY. f' ""I ':::> f)~ A ~ . <br />STATE CERT OR REGIST .. eA<-OS"O Ltc 0 <br /> <br /><>>YER ~~~~...~.. ........ . · u::::.:: "C:5f:;i;;~"'"'''' <br /> <br />SIGNATURE ./ ,/, STATE CERT OR REGIST It C.C -CoS799/ <br />