Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION (eM, I{'" 55/0 t (if <br />BUILDING DEPARTMBNT 5335 8th STRBBT ZBPHYRHILLS, FL 33540 ""--_ __ <br />~12 Phone:813-780-0020 Fax:813-780-0021 (--5- ( <br />/ ~ () J DATB RBCBIVED I 0 _ <br />'--- , ~~t ~ ~ PLANS REVIEW FEE <br /> <br />OWNER'S NAME ~ ~;1 PHONE CONTACT <br /> <br />JOB SITE ADDRESS (,' /2.. '~I/ r'J { V~ L(f' J. 'r p J... Itr (' L. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[J ADDITION <br /> <br />!Slt'ALTERATION <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />[J SIGN <br /> <br />[]MOVE <br /> <br />[] DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />ill COMMERCIAL <br /> <br />[]MULTI-FAMILY <br /> <br />[J# OF UNITS <br /> <br />[JMOBILE HOME <br /> <br />[] INDUSTRIAL <br /> <br />[J SWIMMING POOL <br /> <br />[] OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />~u 6v114-/ <br />f <br /> <br />111.1c:.... I'oll <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ~ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. Jl-~V' <br /> <br />cJj~1 <br />PERMITS REQUESTED <br /> <br />FORMS. <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />~, <br /> <br />fiV;( f~~~ <br />'fr1" P:' <br />/V$ AJ~~ <br />o W~,El.C. <br />JJt ~ ,,?,/9 <br /> <br />INST~~TI7 ~ <br /> <br /> <br />" d BUILDING <br />'Q/ELECTRICAL <br /> <br />~UMBING <br /> <br />" <br /> <br />$ <br /> <br />'-13,000. eo <br /> <br />VALUATION OF TOTAL CONSTRUCT <br /> <br />.D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[] OTHER <br /> <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[] STEEL <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br />AREA[J YES [J NO <br /> <br />BUILDBR ~ <br />SIGNATURE ~7 ,. <br /> <br />COMPANy'(/1fhn J:f.'Yl-l!:. <br />STATE CERT OR REGIST ~ <br />CITY PROCESSING # c;? J" 0 L <br /> <br />****************************************************************** <br /> <br />BLBCTRICIAN ~:~ COMPANY RoherT ~~cJ EI-ec <br />~ ~ - /J STATE CERT OR REGIST # <br />SIGNATURE V '- -'---" . CITY PROCESSING #~ :no<;"""--,- t9t1 <br /> <br />****************************************************************** ~ <br /> <br />PLUKBBRv/ ~ COMPANY Coe;. <Or 72J Cc.> ~ s T t'-fr~y <br />. .rr:I ~ ~ STATE CERT OR REGIST # CFC05&7t'o~ <br />SIGNATImEI( I/'L~D _ ,CITY PROCESSING # .aJ?~/( ~ ~ <br /> <br />******************************************************** '*******~ ~ <br />MECHANICAL COMPANY <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />