Laserfiche WebLink
<br />~~R/31/2005/THU 11:40 AM <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <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 aU St, ZQphyrhil1a, l!"L 33542 <br />613-780-0020 FAX: 813-7aO-0021 <br /> <br />DATE Rli:CEIVED <br /> <br /> <br />913 - 7~1 - 5:i.77 <br />e'f-.J-.'(.,3$ <br />?J13~~7~1-5;l71 <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />Le..^^~r ' <br />//k t;r-- <br /> <br />PHONE <br /> <br />BLOCK <br /> <br />SUBDIVISION Cte5fvrt\,J Ilith <br /> <br />PARCEL ID *' <br /> <br />LEGAL DESCRIPTIO~: LOT(S) <br /> <br />M <br /> <br />WORK PROPSEO, <br /> <br />PROPOSED <br /> <br /> <br />RT <br /> <br />N <br /> <br />- - Z /- ..>SS, ('. - 00. <br /> <br /> <br />o ADDITION <br /> <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br />USE~GL FAMILY <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o IND.,uSTRIAL <br /> <br />o If OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />DOTHER <br /> <br />DWELLING <br /> <br />[=::J <br />/Jew <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />LI/lQC/'e/: gr/s~q(Cr~~c <br />2Z8-SI <br /> <br />sf{( , <br />) <br /> <br />Zct.?3 <br /> <br />BUILDING SIZE <br /> <br />DESCRI~l:ON OF WORK <br /> <br />SQUARE FOOTAGE <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 SIaN PERM~T ONLY (2) SETS OF ENGINEERED P~NS 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 />:;; /2c;)jO~6 <br />, <br />/~~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />W' <br /> <br />o <br /> <br />AMP SERVICE <br /> <br />Progress Energy <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAs 0 ROOFING D SPECIALTY <br />TYPE OF CONSTRUCTION~BLOCK <br />FINISHED FLOO~ ELEVATIONS <br /> <br />o OTHER <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 />SIGNA;otE " .' STATE CERT OR REGIST . CI3C / ZS- / rf-4l... <br /> <br />ELECTRIC:D\N <br /> <br />SIGNATURE <br /> <br />PLOMBER <br /> <br />SIGNATURE <br /> <br />MECHANXCAX.. <br /> <br />SIGNATURE <br /> <br /> <br />**~**************.*******.*******w*******.~ <br /> <br />COMPANY [5-.~A P4$l.O ~~(: <br />~ RoO 1 LfSOl.' <br /> <br />~ <br />/ <br /> <br />~ <br /> <br />STATE CERT OR REGIST * <br /> <br />**.*.**.***.************~***************************************** <br /> <br /> <br />COMPANY \')... \I)-,{ Lo II}" pi J M ~ ... ~ <br />STATE CERT OR REGIST ~ c F'C l.f d {,;}-"1 <br /> <br />...... "'...... ............ .. '" '" "'.. .... .... .. .. '" ~ "'....'" "'.. ..~.. 1-b.............. .... *r .... "'.'" <br />COMPANY. fi "1 '::::> OiL A <.... .. <br />STATE CERT OR REGIST . eA<-- C>~b Ltc (:) <br /> <br />~ e..,~~umu '~'H..m"H=:::"C:5~L:;~"H'**H <br /> <br />SIGNATURE ,.~, STATE CERT OR REGIST * CC -CoS7991 <br />