Laserfiche WebLink
<br />.. <br /> <br />CIrry OF :6.1!iJ:'n.I..t'-n.1..&.I.&.I~ .. ........-- - --- --- <br />BUIILDING DEPARTMENT 5335 B~H st, Zephyrhills, FL 33542 <br />813-780-0020 FAX:B13-7BO-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />L ~~~~~:> ?<::~J\~ .."",J.. \( ,,~, PHONE <br />~~~~; ~_,~~ sy - \d~ ~\..7~~S <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br />WORK PROPSED: []NEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICEl <br />o ALTERATION 0 REPAIR ~TALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PHOPOSED DSE'~ILY DWELLING <br />COMMERCIAL <br /> <br />OMOLTI -FAMILY <br />o INDUSTRIAL <br /> <br />Of OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HO~ <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br /> <br />DESCRIPTION OF WORK ~C'l\\.~..\~ \ -~~~'\ ~~"\.~~,, ~~~\\.1'\"h <br /> <br />BUILDING SIZE SQUARE FOOTAGE 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 /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />~MBING <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o MECHAl'IICAL <br /> <br />$ <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 <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />~=== - ~' ~_=~~-=~=~_-_~ ~ ~ __ _ ___~C=_-=--= ", ----- ~~=- =-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 />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br /> <br />COMPAN~~~~}.e;, \~~\.n~'!!::,.:s ~~~ <br />STATE CERT OR REGIST It ~ ~~ \ l..t~$:.\cC\:l <br /> <br />SIGNATURE <br /> <br />****************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***********************************~********~****i*************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br />