Laserfiche WebLink
<br />C I T Y 0 E ~ J!j J:' 11 oX .t(D ~ J.lJ.I;:a r .I:I.EU..&..... .&. 6'&.... - -- --- - - - - . <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />'0 rf"!C.. \ 1"'\ t 0/7 LJ,nlK' 813-780-0020 FAX: 813-780-0021 / <br />(7~ V "((..11 V '1) DATE RECEIVED {t?-/b -()5- <br /> <br />~(&N <br /> <br />OWNER'S NAME CotJt(fU (Ja-J1Q2S I tJG <br />r~ltu- g\JD.. <br /> <br />PHONE C;ONTACT FOR PERMITTING 'l11 -13/ /I/,s- <br />,?~I' <br /> <br />PHONE (~ ~ --).'l. -.;>~;a;> <br /> <br />. 6JiS <br /> <br />JOB ADDRESS . 7 2 5 $ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />PROPOSED <br /> <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DWELLING <br /> <br />OMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM <br />o OTHER <br /> <br /> <br />DEPARTMENT APPROVAL <br /> <br />HEIGHT <br /> <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 />o BUILDING <br /> <br />VALUATION OF <br /> <br /> <br />$ tt,:), rJ f) <br /> <br />... <br /> <br />f3Zl~N& <br /> <br />PERMITS REQUESTED <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE 0 <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 /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />_~"""~TI~11 ~~"'-I~:~-;;"~""-' ~- ~'i --- --~-~~--~-~ - ~ - vi -- -~~~r--v -l~.... ~""l~T",";-'" ~-;-'-;~~~~ "-t~vr;!7~ ;1~Yf~~j~T <br />I;'hll tr 1 I, n 1)1" : I , . I ~I 'I l_ 11 I' " ~ -1 ;':-/11/' . Jj il~""'j'; J~04Y1 <br />~~~J.oW..~~~L_~_______~~__~__ __~~.'-'J.~~ I I 1,' II, ",I ", r _Uj.,:.' -\_I! <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />MECHANICAL <br /> <br /> <br />*****~~************************************** <br /> <br />'c)2 i -")h.VPL-cOMPANY <br />, STATE CERT OR REGIST ft D~ <br /> <br />*****************************************~ <br />COMPAN~PlE SlbN &. AWt-~HN6- <br /> <br />STATE CERT OR REGIST ft c13CA r l d I 2- <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHER <br /> <br />SIGNATURE <br />