Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~h STREET ZEPHYRHILLS, FL 33540 <br />Phone:813-780-0020 FaxI813-780-0021 <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S <br /> <br />NAME ~0Jr'---\ 'vec\L€r- <br />ADDRESS tf),,':) l g 0 \~7 ,-S'T <br /> <br />PHONE CONTACT 78 Z -1iJ Co S <br /> <br />JOB SITE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # ~ l.. ?l.o . L \ <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />l )0 ~ O. \ 2.3uu -017~BTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />[] REPAIR <br /> <br />[] INSTALL <br /> <br />o SIGN <br /> <br />[] MOVE, <br /> <br />[] DEMOLISH <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />[]MULTI-FAMILY <br /> <br />[]# OF UNITS <br /> <br />[] MOBILE HOME <br />[]OTHER <br /> <br />o INDUSTRIAL <br /> <br />[] SWIMMING POOL <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~)./\A-.J.J'-~ (-C. y.-~ ,(") () r=- <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 & (I) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ 3/CUDO <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 />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br />.. <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 ~LOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES <br /> <br />[] NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />OTRBR v~ \ s=:tt ~~ "'4-- COMPl\NYV0.0\ SG~ ~~ 'l:/1r. <br /> <br />. .' STATE CERT OR REGIST # C f7 r-). f- \ -;s c..j <br />SIONATURE. - ~ Q Sl- - CITY PROCESS ING # J 'l .( , as i <br /> <br />*********************************************~******************* <br /> <br />***************************************************************** <br />