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 />BUXLDING DEPARTMENT 5335 aU St, ZOiIphyrhi.ll.s, P"L 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />owNER'S NAME <br /> <br />us t\o~ G,tfc~~');r-- - Le..A^oU <br />7& ~ I 4./c'~.h4'U//:(,P1 .LJr <br /> <br />PHONE <br /> <br />fjt3 -7(/; -5:1..77 <br />e'f././G,35 <br />?J13~ 7(/j - 5;).:/) <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTIO~: LOT(S) <br /> <br />SUBDIVISION Cre5Iv~i,J 1f,'l/5 <br /> <br />PARCEL ID * <br /> <br /> <br />BLOCK <br /> <br />-~G> 0770 <br /> <br />M RT <br /> <br /> <br />WORK PROPSEP: <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED <br /> <br />OSrGN <br />USE~GL, FAMILY <br />o COMMERCIAL <br /> <br />DMOVE <br /> <br />o DEMOLISH <br /> <br />DWELLING <br /> <br />DMULTI-FAMILY <br />o IN~USTRIAL <br /> <br />o If. OF UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE HOME <br />o OTHER <br /> <br />DESCRI~XON OF WORK <br /> <br />c:J <br />New <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />.A/1~/: ~dbVl'.~ ZCl;?S- <br />SQUARE FOOTAGE Z c//6 <br /> <br />sf {( , <br />) <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 BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF srGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL ,NEW CONSTRUCTION. <br /> <br />M BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ /ZbJ 6cYb <br />, <br />zcv <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />w' <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <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 OTHER <br /> <br />o FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />~O <br /> <br /> <br />BUILDER <br />SIGNA;utE <br /> <br />STATE CERT OR REGIST It Ci3C/2S/r/-4l.. <br /> <br />SIGNATURE <br /> <br /> <br />.****.*********.*********~*********.***.*.********..*************- <br /> <br />COMPANY D~~ P"'Sl.O ~~c <br />eRoo t 'fSOl.' <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />*.*.*.*.-* ***********************.*.***********.****~*********** <br /> <br />P:J:.OMBER <br /> <br />COMPANY <br /> <br />1)1-\. V)~ <br /> <br />MECHANXCAL. <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />~~"1 <br /> <br />~"""""":~:~:"~:~~~i~i/~;;"""'" <br />STATE CERT OR REGIST * C<: -CoS79<J I <br />,.- <br /> <br />SIGNATURE <br />