Laserfiche WebLink
, s�3-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department � ! J �� � <br /> Date Received � �jj � � � <br /> �' Phone Contact for Pertnitting __ <br /> Owner's Name �1"��G �C� �JJ� �S Owner Phone Number �� ��� " �C�i�� <br /> Owner's Qddress ��lb� C��yN N�y,S� �� ���,k. ,��� Owner Phone Number � � <br /> Fee Simple Titleholder Name ���`Z Owner Phone Number � � <br /> Fee Simple TitfeholderAddress <br /> JOB ADDRESS `J � C� � , � �Tf2°��T Z� � �{ � 1L� � �L LOT # i 7 �- I �j <br /> SUBDIVISION PARCEL ID# I I" Z�o ° Z� -�}p 10 — I�''J ZO� - O 1"7C� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR � ADD/ALT � SIGN O MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER <br /> TYPE OF CONBTRUCTION � BLOCK � FRAME Q STEEL O OTHER <br /> DESCRIPTION OP WORK CaMQ►-`{,r� �'x1ST11Ji,, �►1'�1..L� �rN{� S�-�{� ti{3 �{�Q�� <br /> BUILDING 31ZE '�� X Z.� r SQ FOOTAGE ,,'��Q HEICiHT � 1���� <br /> � BUILDING $ <br /> �� ��� Q�� VALUATION OF TOTAL CONSTRUCTION ��I ��J.��: CrQ <br /> � ELECTRICAL $ � �� AMP SERVICE � + jO � PROGRESS ENERGY � W.R.E.0 <br /> G , �?� • <br /> � PLUMBING $ <br /> 1 � � 0��� <br /> � MECHANICAL $ VALUATION OF MECHANICAL tNSTALLATION <br /> NA <br /> � GAS Q ROOFING O SPECIAL'tY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES �NO <br /> �X1ST 1l�C�- Sh.�$ <br /> BUILDER COMPANY � ��� �� <br /> 51GNATUR �'-� Q� �3F � <br /> REOISTERED Y/ N FEE CURRENT Y/ N <br /> ress 3��. Jr� �QN ���LS � 33.�'}Z License# L��.. �J �711 � <br /> ELECTRICIAN COMPANY 1 Y�,{�Q.h ��� .�� <br /> SIGNATURE REGISTERED Y/ N FEE CURRFNT� Y/ N <br /> Addr+ess � U� 1�o� �".�. �R�-C.1 i-. 33`�' � <br /> � l.icense # tC-' 13�3CCc:`J <br /> PLUMBER � ` I 1 . <br /> SI(3NATURE 'w�,,,,� Z�1 COMPANY N��S Wll-Wf�c1M1l5 �KC-. <br /> REGISTERED Y! N FEE CURRENT Y/ N <br /> Address •�. r;, " License # Gr�. � L�.��'�� <br /> MECHANICAL � 1 Q`` � COMPANY p <br /> SIONATURE � � ��4 REGISTERED Y I N FEE CURRENT Y/ N <br /> Address License # r <br /> OTHER COMPANY � l•�prf� � �� <br /> SIONATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address �Gs � 3 ��; � � 3�,� � Z License # 'C-e-c= � � � 'J�S� � <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum tan M rn w.,.4�.,.. a�..�. ,a... _..�.�:,._� �_._ .. _ _ ._ . .- - <br />