Laserfiche WebLink
<br />~R/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"u st, Zephyrhi.11.s, l!"L 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />OWNER'S NAME IJS t\ofi't.. Lc\fCf^~'"llr- - Ll-f\^cU <br />JOB ADDRESS ,f1 '13,.., /?/?/'ch.A??7V///.c ;:::''r- <br /> <br />PHONE <br /> <br />913 - 7(P<} -5;1.77 <br />ey..J../II3$ <br />1l13':' 7&1- S;L I> <br /> <br />PHONE CONTACT FOR PE~ITTING <br /> <br />LEGAL OESClUPTIO~: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />cre5fv~\'s Ih'tJ~ <br /> <br />PARCEL IO *' <br /> <br /> <br /> <br />M <br /> <br />RT <br /> <br />N <br /> <br />WORK PROPSEO: <br /> <br />CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED <br /> <br />DS:IGN <br />USE~GL, FAMILY <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISll <br /> <br />DWELLING <br /> <br />DMOLTI-FAMILY <br />o IN~USTRIAL <br /> <br />0,. O{,' UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE HOHE <br />DOTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT " HEALTH DEPARTMENT A. PPROVAL. /l JJ <br /> <br />New sf(( j A/lQoIe/: C(7/0~/A/ ~'f':., <br />SQUARE FOOTAGE /?Or/ HEIGHT <br /> <br />cOC>.5 <br /> <br />nESCRI~J:ON OF WORK <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 />M BUILDING <br />o ELECTRlCAL <br /> <br />PERMITS REQuESTED <br />95-:9?9' VALUATION OF TOTAL CONSTRUCTION <br />, / . ' <br />~5.-0 <br /> <br />AMP SERVICE <br /> <br />W' <br /> <br />Progress Energy <br /> <br />o <br /> <br />W_R.E.C. <br /> <br />$ <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION~BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />o OTIIER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />~O <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br /> <br />l;lLECTRICXJ\N <br /> <br />**.*********w*..****..*~****.....**.****.****. <br /> <br />COMPANYPS'+ ~<l\~(O ~c <br />e RoO \ LfSOl' <br /> <br />STATE CERT OR REGIST i <br /> <br />SIGNATURE <br /> <br />****.***~.***********************.*-*.***.*********.************** <br /> <br />COMPANY \)A. "'~ [0 tJ ~ P , V M ~ ~ t <br />STATE CERT OR REGIST ~ C~C l~d- (.;)-~ <br /> <br />PL~R <br /> <br />sIGNATURE <br /> <br />SIGNATURE <br /> <br />***********... '" * *** **~,*...... *;)1,**** **(. **.* <br />COMPANY, i ""1 '::> f)i(, A <.... ' <br />STATE CERT OR REGIST it CA--<:-05'O Ltc (:) <br /> <br />MECHAN:lCAL <br /> <br />oma ~~~~.... ~........ ..... .:~~:::.:.. C: ;;f{i;: ~...... ... <br /> <br />SIGNATURE r ~ STATE CERT OR REGIST * C<'- -CoS799/ <br />