Laserfiche WebLink
<br />~W~ER I S NAME --.t ~ (J. .. J',ull ~I,pl,,t$~" <br />J~" , <br />(fL{ \ I c TOr< I CW\ <br /> <br />I I' <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMBNT 5335 Sth STRBBT ZBPBYRBILLS, FL 33540 <br />Phonel813-7S0-0020 Fax: 813-780-00~tl <2--- _ --J (./ --f{' S <br />DATB DCBIVE 0 ^ ( <br />PLANS RBVIBW J'BB <br /> <br />PHONE CONTACT <br /> <br />'7 tf- ~r? s <br /> <br />JOB SITE ADDRESS <br /> <br />[J ?'v\-f- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />3 <br /> <br />t,;)loJ;)o-o <br /> <br /> <br />0-0170 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTIoN <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: ~GL FAMILY DWELLING <br /> <br />OMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />o RES~AURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK .bar I:~~ ~f\ MoJt I ~ ot'\ t,je.. <br />Lf'S' J< 'l/ I <br /> <br />SQUARE FOOTAGE <br /> <br />3-,;J.-;l. <br />I, ~, g <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />ql <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PPANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />AMP SERVICE <br /> <br />[3- FLORIDA POWER <br /> <br /> <br />PERMITS RBQUBSTED <br /> <br />~UILDING <br />o{'ELECTRICAL <br />Ili"PLUMB ING <br />~MECHANICAL <br /> <br />$ <br /> <br />J ~S.~oo <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o <br /> <br />$ <br /> <br />;2} 15190 <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 ff1?RAME <br />FINISHED FLOOR ELEVATIONS " II "~f slw.t <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />(R-'NO <br /> <br /> <br />BUILDBR <br /> <br />J4f 6- / /JhI- <br /> <br />COMPANY ~t.J;~It. ~fr..e~'t\11 T",. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />PLUllBBR <br /> <br /> <br />*******************~********************************************** <br />, <br /> <br />BLBCTRIC <br /> <br />COMPANY MJ:u4-;~ 5" ..L..c.k-.~ ;=lAc- _ <br />STATE CERT OR REGIST # P-.-e l3>oor~~ <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />COMPANY ~/b'f J {/VIles t{C/fi1~; ,?9 lYe <br />STATE CERT OR REGIST' # C/l"r" '12 b I <br />I <br />CITY PROCESSING # <br /> <br />DCHAHICAL <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />******************* *****************************.*************** <br />