Laserfiche WebLink
<br />I <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, PL 33540 <br />Phone:S13-7S0-0020 Pax:S13-7S0-0021 <br />DATE RECEIVED <br />PLANS REVIEW PEE <br /> <br />OWNER'S NAME 8;// KAJ.:.,'fA;L <br />JOB SITE ADDRES~ ~r510d I (-Ih <br /> <br />PHONE CONTACT .1'13 10 t03':< <br /> <br />s-l <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />[] ADDITION <br /> <br />[]ALTERATION <br /> <br />[]REPAIR <br /> <br />[] INSTALL <br /> <br />[] SIGN <br /> <br />[]MOVE <br /> <br />[] DEMOLISH <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br /> <br />[]MULTI - FAMILY <br /> <br />[]# OF UNITS <br /> <br />[]MOBILE HOME <br /> <br />[] COMMERCIAL <br /> <br />[] INDUSTRIAL <br /> <br />[] SWIMMING POOL <br /> <br />[] OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />FA/d5;d LI'l/f//c)R/ ~ jp//V(' ~ <br />....../ <br />SQUARE FOOTAGE HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (l) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />[] BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />[] PLUMBING <br /> <br />[] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />[] FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY 0 Iv-J N U <br />TATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />*********************** <br /> <br />****************************************** <br /> <br />ELECTRICIAN I <br />SIGNATURE AA. r <br /> <br /> <br />COMPANY e \..v Nri"Af. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />******************* ********************************************** <br /> <br />PLUMBER COMPANY <br />STATE CERT OR REG 1ST # <br />SIGNATURE - CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />