Laserfiche WebLink
<br />CI~Y OF ZEPHYRHILLS PERM~T A~~Li~A~iU~ <br />BUNDING DEPARTMENT 5335 S!l:H st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER' S NAM~1;j N t!6t1 r <br />S~11 <br /> <br />g Uf.LO{" Ie <br />\ '1-+\1, S+ <br /> <br />PHONE <br /> <br />313- 771-o4cJ.c., <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID it 11- r:)(o -;(/ - 0010 - 071170- 004 () <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />~ INSTALL <br /> <br />OSIGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING ptMULTI-FAMILY D. OF UNITS <br />o COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL <br /> <br />o MOBILE HO~ <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />DESCRIPTION OF WORK (CM Orr l2ooF,/,fEr'(/t(!E; uJ/TJ:-I 0=:JeT/I/NTEFU 3OyR~h)r15ks <br /> <br />BUILDING SI ZE <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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br />o GAS ~ROOFING <br /> <br />$ 43DO <br /> <br />VALUATION OF'MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <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 />I_~~___~I___~"" ~___, _ __..______ __.__ _"" _ _ _ ._~__...,_r__~~__~__ ---~~--- -- - - -. -- --- --"---- ~~- --.....,.,..,.,.-,.,..., <br />[" , ' , "II ' ' .',: I <br />I I l I I I I I I . _, I ,,' <br />I...... I I I I , I 'I , II' J <br />_ ~ ~_______~-l.__..._~~~__ _4._ _'_~__~ ~___________ _ --- _____~___.J....._.__~_~~..!-~_~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST . <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <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 />STATE CERT OR REGIST i <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />.A :s T /'t J':' ~~'~ ) LJ) '//; A 5', /II,' /J (', / . <br />OTHER "L L#lOI' - (/II( '/J r/J/n ~.s COMPANY ~ , tA1~/CJ2 ~O(J7i5 /.IV'~ <br />SIGNATURE,~ ~~, " STATE CERT' OR REGIST i I{(!- 6t")'g?4 <br />