Laserfiche WebLink
<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIrING DEPARTMENT 5335 8u st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 \ /2/DL <br />J DATE RECEIVED J ~ <br /> <br />PHONE CONTACT FOR P~~orIflERMn ~~~::n;;3i;f';~;~ <br /> <br />OWNER'S NAME Cka-)J)€ f3u"nu/( <br />JOB ADDRESS 31~;J.f AM ~ ~{-4Jl- !l...JOj <br />LEGAL DESCRI PTION: LOT (S) ~ ~ BLOCK <br />PARCEL ID ft ';>''1 ~rJ..b ~/- <Xblo - oOcJcb~ 06l.tJ...() <br />WORK PROPSED: ljJNEW CONSTRUCTION 0 ADDITION <br />o SIGN 0 MOVE <br /> <br />~ ,n~" R"" 8"'4 -'l," \:_'~ ,r~ ,I; <br />-'::;;f)O- , f.. .- {../::,'~.. <br />PHONE Tt-I! !=f(~E <br /> <br />SUBDIVISION.Tk. E~hl// 1b1.AJ <br />,e.// hlfol' f <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Oft OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br />DESCRIPTION OF WO"'; ~cI /~) (jL')~ Wi ..!Jl#,t';1J /~rdJ <br /> <br />BUILDING SIZE /0 '/. 9 SQUARE FOOTAGE f(J , <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />Noe - / <br />('()"l""rt ~, - ~ <br />~(,.....f>I~ - <br /> <br />$ <br /> <br />& ~ t/ (PI/, 00 <br /> <br />PERMITS REQUESTED <br /> <br />d. BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <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 AREAO YES 0 NO <br /> <br /> <br />BUIIDER <br /> <br />STATE CERT OR REGIST ft <br /> <br />ELECTRICIAN ,', IL COMPANY J!g e.j"e <br /> <br />/SIGNATURE Wid.. &t.- Jk.. -A-J~~f STATE CERT OR REGIST ft <br />/\ ' . ~ I"'Uf ~n~ed ~ ~ . <br />--, ," .....................................................************* ,~ <br /> <br />~ f PLUMBER . . COMPANY L./U'ru I>>,tr PUuLbJ/Ij <br /> <br />~. SIGNATURE 4.LlLk 1. IL -AlL f STATE CERT OR REGIST * <br />~ nt* ~'('\'ZJZ.d. -+0 cz. \ ~ <br />****************************************************************** <br /><...- <br />\fl ~ MECHANICAL <br /> <br />~~ SIGNATURE <br /> <br />fi'" tOTHER <br /> <br />~SIGNATURE <br />'\'1', <br /> <br />@ <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST i <br /> <br />***************************************************************** <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST i <br /> <br />jbni1~ ~T:J. <br />,-. .--. . f n--;J ~~S ~ ~,- l~ It (!;;IC-. t B G I ()"Y\- <br />Titt r ,+"tL~\ .~ ~ ~ ~1L'T vt" f>; <br /> <br />fl-<- <br /> <br />L.) c..w)e <br /> <br />(DtJ..,-~1~. <br />