Laserfiche WebLink
<br />~ \ L\C)<(3gQS <br /> <br />OWNER'S <br /> <br />NAME 60~ ,v~~~j~ <br />ADDRESS \ \d y-\h. '-../ . <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT S335 8~h STREBT ZBPHYRHILLS, FL 33540 <br />Phone:813-780-0020 FaxI813-780-0021 <br />DATE RBCE:IVRD 1\ -Cl -DG:, <br />PLANS RBVIEW FBR <br />~,(\ c... <br />PHONE CONTACT 40'7 t...lloA ,t::).J:)Cj', <br /> <br />JOB SITE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # iL\ - ~<O-d.-l..,.. (.:.016- b(::)jOO--co9o <br />WORK PROPSED: oNEW CONSTRUCTION 0 ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ALTERATION <br /> <br />DREPAIR <br /> <br />~ INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: ~GL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />oMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />'I~S-\-a..\\ lAJ\nrlD.-L1) ,~;(~ -Pry l~\ 7~ (II) <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~~~ <br />~ 0(:. ~- Ene:::... . <br /> <br />PERMITS REQUESTED <br /> <br />[JI'BUILDING <br /> <br />$ (o4QQ. Q;;:;2 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R,E,C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <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 /> <br />IS PROJECT IN FLOOD ZONE AREAo YES <br /> <br />BUILDER <br /> <br />~"CP.",,,, <br />q~ > >. <br /> <br />COMPANY TI-h\ A-.\- - Home ~;.e") <br />STATE CERT OR REGIST # _ C ' ~ } r:pqL2, <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING * <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***********~**************.~************************************* <br /> <br />OTHER <br /> <br />~ ~ COMPANY <br />STATE CERT OR REGIST # <br />'-~l r~ ~ITY PROCESSING # <br />~ <br />**************************t~*1****************************** <br /> <br /> <br />~V ; <br /> <br />'" i.......I'....,,:l!l!"..t ~ <br /> <br />SIGNATURE <br />