Laserfiche WebLink
<br />!I I <br /> <br />, .;J;!-'3 <br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BunDING DEPARTMENT 5335 8'1:H St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />10 - ;e9-[J~ <br /> <br />PHONE CONTACT FOR PERMITTING (813) 690 -18 8S' <br /> <br />OWNER'S NAME fA S /lome <br /> <br /> <br />PHONE 81~ - ?t..9 - 5".:?'7'7 <br /> <br />JOB ADDRE SS <br /> <br />BLOCK ~ SUBDIVISION GH_n,vo ~tti:. ~~"I,.nIM1~S <br />-f::f'fJCI:)' 22.:10 (OBTAIN FROM PROPERTY, TAX NOTICE) <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 10 # 03 ~2.b- 21 ~ <br />WORK PROPSED: )d'NEW CONSTRUCTION <br />OSIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />. toi 'Tow,v;l O"","",s <br />PROPOSED USE: OSGL FAMILY DWELLING PMU1'fI PMlILY <br /> <br />o COMMERCIAL 0 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 APpROVAL <br />DESCRIPTION OF WORK 'low,vftomF! (Y\ockJ (Ylttr+;nl~lle <br />BUILDING SIZE SQUARE FOOTAGE .--llob3 HEIGHT 2.1 <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 />6i1 BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />PERMITS REQUESTED <br />~ VAL~ATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~ Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ 3\ 3CO. ;0-- <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF'MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: l! 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 />SIGNATURE <br /> <br />COMPANY tiS #om'E 6>'-c.r-LIi'N/V/I/l- <br />STATE CERT OR REGIST # CB C I ';( 5;2 <! :2 ~ <br /> <br />BUILDER <br /> <br />r <br /> <br />****************************************************************** <br /> <br />ELECtRtCI:#U ~/ <br />SIGNATURE <br />****************************************************************** <br /> <br />COMPANY .:Tt3C CU:C""~I G O,r: Mm.~'9 <br />STATE CERT OR REGIST # EC /300 J B 8 b <br /> <br />PLUMJBER <br /> <br /> <br />COMPANY flt1..'fllv/(. S'cfi t..€ P71'1,J <br />STATE CERT OR REGIST # ere 0 l/ / ? ;;< / <br /> <br />p> <br />MECHANICAL <br />I <br />SIGNJt.To/RE: <br /> <br />.~..................................................... <br />~ COMPANY A SrEl"l"'l4l1f- SrOM? <br /> <br />----, STATE CERT OR REGIST # C 1'1 COSO '-//0 <br />C/ <br /> <br />***************************************************************** <br /> <br />QtHElIl I r<OOf'IN~ <br />SIGNATORE cY~ /~ <br /> <br />COMPANY C. S-r(?t<t../AJ6- <br />STATE CERT' OR REGIST # C Ce.. 0 5199 / <br />