Laserfiche WebLink
<br />DATE UCEIVED <br /> <br />iLf,7 <br />~ --&-1% <br /> <br />CITY OF ZEPBYRHILLS PERMIT APPLICATION <br />BUILDING DEPAR'l'NENT 5335 8211 St, ZlIphyrhills, I'L 3350&2 <br />813-780-0020 PAX: 813-790-0021 <br /> <br />PHOIIE COIlTACT J'Oa PB1QttftDtG <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL ID if Jd- ~" ~l- CJ().:;) f) <br /> <br />, <br /> <br />~~POSI+l) PHONE g J ~ - 78 :? ,,;11 4 to <br />live. Z2phLt)-W)S, FL 33S4 ~ <br />Yln1-/)~ <br /> <br />BLOCK SUBDIVISION <br /> <br />"'l>d:8tJCJ Iof(tI~~OM <br /> <br />PROPERTY TAX NOTICE) <br /> <br />OWNER'S NAME -'!int-hD ~ <br />JOB ADDUSS .3 q , ^ L\- t ()~ <br /> <br />WORK PROPSED: ClNEW CONSTRUCTION <br />Cl SIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />ClCOMMERCIAL <br /> <br />Cl ADDITION <br />Cl MOVE <br /> <br />lfALTERATION <br />Cl DEMOLISH <br /> <br />Cl REPAIR <br /> <br />Cl INSTALL <br /> <br />ClMULTI-FAMILY <br />Cl INDUSTRIAL <br /> <br />Clif OF UNITS <br />Cl SWIMMING POOL <br /> <br />Cl MOBILE HOME <br />Cl OTHER <br /> <br />BUILDING SIZE <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL .D <br /> <br />Ru-oO.+- 511, f'\~ c:Ll <br /> <br />SQUARE FOOTAGE <~ l:t:l <br /> <br />DESCJUPTXON OJ' 1ft)1Ut <br /> <br />HEIGHT <br /> <br />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 />PERMITS REQUESTED <br /> <br />Cl BUILDING <br />Cl ELECTRICAL <br />Cl PLUMBING <br />Cl MECHANICAL $ <br />Cl GAS j(ROOFING Cl SPECIALTY <br /> <br />$ t,<.j j X.DD <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />Cl Progress Energy Cl <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />Cl OTHER <br /> <br />TYPE OF CONSTRUCTION: Cl BLOCK <br /> <br />Cl FRAME <br /> <br />Cl STEEL <br /> <br />Cl OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREACl YES 0 NO <br /> <br />- <br /> <br />BUXLDn <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST f <br /> <br />****************************************************************** <br /> <br />EI.EC'l'RICXAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST if <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST 1/ <br /> <br />***************************************************************** <br /> <br />""""" 0~-~ t-HD~~~y k:\l>f'M.Pro ,"iry>2.0S {'fie. <br />SIGNAT~RE 'J . STATE CERT OR REGIST 1/ CLL I 3 d-S 1? lD t.{ <br />