Laserfiche WebLink
<br />,~ '1~3b <br /> <br />CIrr'Y OF :6J!i.t'n~~n.L.u.LI~ ... .........-- - --- --- <br />BUNDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 .?-....I1...- ug <br />DATE RECEIVED. <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />OWNER'S NAME B-e.\'v\. ~e...~ ~(~~ --.:;;;::~ <br />JOB ADDRESS '"76'-1' Gf+{~ E ~'^ <br />LEGAL DESCRIPTION: LOT(S) 3<-\ BLOCK zs- <br /> <br />PHONE 909- en 33>> <br /> <br />SUBDIVISION~ <br /> <br />PARCEL ID it <br />WORK PROPSED: ONEW CONSTRUCTION <br />~SIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE\ <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI -FAMILY <br />o INDUSTRIAL <br /> <br />o it OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HO~ <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br />DESCRIPTION OF WORK L 1JlJ.JeJL. ~o\e ~I.Cx\l\ -*e> ~,,( 0 A-\:\ . <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />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 />o PLUMBING <br />o MECHAl'IICAL <br /> <br />AMP SERVICE <br /> <br />~ 00 <br />Q? 0, <br />IS-a:> ~ VALUATION <br />. \ <br />o SPECIALTY 0 OTHER <br /> <br />o Progress Energy 0 W.R.E.C. <br /> <br />$ <br /> <br />OF.MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <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 /> <br />BUILDER COMPANY <br />SIGNA;ORE6~ w '# STATE CERT OR REGIST I f:S \7000 ~ <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />***********************************~*~******~****i*************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST f <br />