Laserfiche WebLink
<br />cIrry OF l6~.t'n~~n..L.u.u.... ... ......--- - --- --- <br />BUIILDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />LA/V)'>lJq <br /> <br />./ <br /> <br />37525 <br /> <br />/!;?/9<1tT/J1PA-0- , <br />· /h.M~u--' OAk ,VA<-/, <br />/ <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION 0/;1/( ;t;.(~ <br /> <br />PARCEL ID it <br />WORK PROPSED: [JNEW CONSTRUCTION <br />D SIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE\ <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />[JREPAIR <br /> <br />0-TIiSTALL <br /> <br />DMOVE <br /> <br />D DEMOLISH <br /> <br />[JMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />[J* OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HO~ <br />o OTHER <br /> <br />DESCRIPTION OF WORK _ <br /> <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br /> <br />~ I y,;/V 1/'65 <br /> <br /> <br />~ 5' ~A'L <br /> <br />BUILDING SIZE <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 SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> PERMITS REQUESTED <br />[J BUILDING $ loDD, on VALUATION OF TOTAL CONSTRUCTION <br />o ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />o PLUMBING <br />o MECHANICAL $ VALUATION OF'MECHANCIAL INSTALLATION <br />o GAS o ROOFING ~~ALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />[J FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES 0 NO <br /> <br />~~ ~I""-~~~L~~~~~~-=~~--~~~~_ ____~_l-~, --- __1- -~=-_=~=--=J__~_~-,~~~~-=--:: <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <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 />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br /> <br />***********************************.********~****~*************** <br /> <br />OTHE~/7~~.47'r:'-v--' O-o/7A~[~-t. <br />SIGNATURE ~ ~ <br /> <br />COMPANY A;5c. v<? ,+ &:h-"-// ~ALU-"-" Yl~':";.e' <br />STATE CERT OR REGIST i L.r;f'~ <'59 J 7 <br />