Laserfiche WebLink
<br />corer <br />· S resft <br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI1'LDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />~ 813-780-0020 FAX: 813-780-0021 d I. C <br />, I DATE RECEIVED ,- ~- (p <br /> <br />I PHONE CONTACT FOR PERMITTING (813) 610 -18 8S"" <br /> <br />JOB ADDRESS <br /> <br />APreA k" n (2t') <br /> <br />PHONE 81 ~ - ? (.9 - 5".;)'7 '7 <br />~(j6d; /I!r/B1JOl3- <br /> <br />OWNER'S NAME <br /> <br />uS' //ome <br />() /lilt "'2> <br /> <br />C, Ittt-70/l;f r/ Or! - Le= AI AlAfl.. <br />. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION E,,_i'1tVP ~/l'j:. -!;..lIVffOI11CC.5 <br /> <br />PARCEL 10 # 03 ~)~-J.-I-~ -00006 -6130 <br /> <br />(OBTAIN FROM PROPERTY , TAX NOTICE) <br /> <br />WORK PROPSED: JdNEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br />. 'rid '\ow,'J>j o.-nE-S <br />PMUL'U PM1IL y. <br /> <br />o DEMOLISH <br /> <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />DESCRIPT~OF WORK -'0 (;.J,V!tomE! <br />BUI~~ SIZE / 3CJ~ 5' )( 03..3 r <br /> <br />SQUARE FOOTAGE <br /> <br />/ S; f"Zf (p <br />. <br /> <br />I <br />HEIGHT .;J / <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 />&Cl BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ 310 7/ f'51f 00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~ Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />7Q7".yL- 4u- 10 VII/ITS <br />VALUATION OF'MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ 361600 <br /> <br />TYPE OF CONSTRUCTION: OJ 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 />BUILDER <br /> <br />COMPANY tt S 1/ ()m~ a,~ - LEAJ/V'" IL <br />STATE CERT OR REGIST # CB C 1;( 5 ~ <;;) Ie <br /> <br />****************************************************************** <br /> <br />( <br /> <br />ELECTRICI~ ~ COMPANY .::T/3 C CU;=c-,,c/ G b I' /ri;Hj"'9 <br /> <br />SIGNATURE .......:~.~.............::~::.~:::.::.::::::.:..~~.:~:: I B 8 b <br /> <br />PLUMBER <br /> <br /> <br />COMPANY Ili<,rl/ lilt. S'c.-II t...F P7~ ~ <br />STATE CERT OR REGIST # {:-rC 0 i.J / ? ~ / <br /> <br />i <br />. \ <br /> <br />SIGNATURE <br /> <br />f *~*********~*********::******************************************* <br />MECHANICAL <9"'-;'/:' / _ ~ COMPANY A S-rEjO;::'llV~ SrOU& <br /> <br />SIGNATURE ~~--t~~ STATE CERT OR REGIST # CI'1COSOt.//O <br />/' ' <br />***************************************************************** <br /> <br />OTHER <br /> <br />r<oo~/~ <br /> <br />SIGNATURE /.--:~. . .. .. . · <br />p/'/ <br /> <br />- <br /> <br />COMPANY C. S-ret<1-./N6- t ' <br />STATE CERT' OR REGIST # CCC05199/ <br />