Laserfiche WebLink
<br />;\ <br /> <br />CITY OF ZEPBYRBILLS PERHcrT APPLICATION <br />BUILDING DBPARTMEm 5335 8ft St, Zephyrhills, FL 33542 <br />813-180-0020 FAX: 813-180-0021 <br /> <br />p'IJ()NB CON'.fAC'f <br /> <br />.(~v(o~ <br />DATE RECB:IVBD <br />FOR PERMITTING ~/J) 9~tf-5IJc <br /> <br />t <br /> <br />1 <br /> <br />OWNER'+S NAMlt /5AC!J1A,(J ,tJ;eIJPE~TT'FS ~A/C PHONE (R/3J 9OJK-5tJiT / <br />50~S . <br />JOB ADDRESS ~lr r I ~.L" /271! Srr~~-/ <br />LEGAL DESCRIPTION: LOT(S) '/3~/~ BLOCK SUBDIVISION <br />PARCEL 10 I Il":J~.~/-tlO/(?-;2/30t).-()/3.o (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: j1J+IEW CONSTRUCTION <br />OSIGN <br /> <br />PROPOSED USE:~GL FAMILY DWELLING <br />OCOMHERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERAT ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Of OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE Ho. <br />o OTHER <br /> <br />D RESTAURANT &: HEALTH DEPARTMENT APpROVAL <br />DBSCR:IP~ION OF 1<<>RK #eU/ s/n-p/-I!'" I"n~f rt!"'".s/d~d~,c:: <br />BUILDING SIZE SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />/5"' <br /> <br />kSIDENTIAL: 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 />jj 0 t:.- <br /> <br />PBRHcrTS RBQUBSTBD <br /> <br />o BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />[) MECHANICAL <br /> <br />$ C;,a /P/,?cJ <br />/5!J <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~. Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ ;;J ~ tJ.f).~ 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 ~ FRAME <br />FINISHED FLOOR ELEVATIONS cf"lIA.AJt:JOO! <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES <br /> <br />kNO <br /> <br />.1J_~ilf~i~8i\~i~!;2:~=_l__~- _.___ _______ ____________ -'- ~'T~;~-~~:i!~~~::jf!d!f}Jitjjiltt:~4'- <br /> <br />BUILDER <br /> <br /> <br /> <br />COMPANY A/Mh ,d,r;ea# a.l&!1'~ ..r~ <br />STATE CERT OR REGrST . C'dc.dtiltl,;J.9 y- ~ <br /> <br />****************************************************************** <br /> <br />COMPANY f{~<: C(~? E/~c:f:,~c.(j) <br />STATE CERT OR REGIST t EC--oa02!!>--ru <br /> <br />ELEC'nUC <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />~l9Y :)~ <br />, <br /> <br />@ <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br /> <br />SIGNATURE <br /> <br />****************************************...**..... ~ <br /> <br />COMPANY ~ ~~ -.J-<o"I''U (gI <br />STATE CERT OR REGIST t ~'t'S'7~ <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />O'.I!IIBR <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br />