Laserfiche WebLink
<br />.' &. <br /> <br />Cl'l'Y OF ZEPHYRHILLS PERMIT APpr~ICATION <br />BUILDING DBPARTMENT 5335 ~th S'fREE'!' ZEI?HYRHILI,S, FL 33540 <br />Phon&1813-780-~020 FaxI813-780-0021 <br />DA'fE RBCIilIVEO _______.~___._______ <br />I?I4ANS RBVIEW Ji'liIB__,___.___ <br /> <br />.... <br /> <br />O""<R' 8 HR'" -Wd eA\ net, I' err::, oc P~OH' COHne'!' I? 13 - )1% -) b~ <br />,TOBSI'fEADDRESS.~'Ja~t. Pr~('e_ D,~__~~ A .5L:_,___ <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSIilD: ONEW CONSTRUCTION <br /> <br />(OBTAIN B'ROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />[J ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o lNS'rJU,I. <br /> <br />Os IGN <br /> <br />o MOVE <br /> <br />PROPDSED USE: OSGL FAMILY DWELLING <br /> <br />OMUL'l'I - FJHIJILY <br /> <br />0# OF UNITS <br /> <br />[] MOBH.E HOME <br />lJ G'mER <br /> <br />[J COI'<1MERCJAI, <br /> <br />o INDUS'l'RIAL <br /> <br />DSWIMMING POOL <br /> <br />o RESTAURAl'IT & HEALTH DEPARTMENT APPROVAL . <br />DESCRIPTION OF WORK -----B L 10 ~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE F'OOTAGE <br /> <br />HEJIGH'f <br /> <br />RESIDENTIAL: <br />COI'-1MERCIAL: <br /> <br />ATTACH (2) PLO'r PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENElRr;y FORI>1S. <br />ATTACH (3 )SE'fa OF BUILDING PLANS & (1) SIiJT ENIiJRGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />FERMITS REOUEST~ <br /> <br />o BlJILPH4G <br /> <br />$ <br /> <br />VALUATION OF TO'l'AL CONSTRUC'fION <br /> <br />Ll ELECTRICAL <br />o PLlJI'1BING <br />o 1'1ECHAlUCAL <br />o GAS ~OOFmG <br /> <br />AMP ~ERVrcE <br /> <br />o FLORIDA POWER <br /> <br />o W,R.E.C, <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAI, INS'I'AI,LATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />T'tPE OF CONSTRUCTION: [] BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR EI,EVATIONS <br /> <br />IS PROeJECT IN FLOOD ZONE AREA 0 YES <br /> <br />o NO <br /> <br /> <br />aUILnBlR <br /> <br />COt<1PANY <br />STATE CER'I' OR REGIST # _.__ <br />CITY PROCESSING # <br /> <br />-----.-,- <br /> <br />SIGNATURE <br /> <br />**************************************************..**...***...... <br /> <br />Il1I,i1CTRICIAU <br /> <br />SIGNATURE ____ <br /> <br />COl<1PAl'lY <br />STATE CER'!' OR REG 1ST # <br />CITY PROCESSING # <br /> <br />****************..***..***.******.***********************.**.**... <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # ___ <br />CITY PROCESSING # <br /> <br />SIGNA'l'IJRE <br /> <br />MBlCHANI CAI, <br /> <br />..*******.****************************.****************.**.*....*. <br /> <br />COJvJPANY <br />STATE CER'f OR REGIS'I' # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br /> <br />**.********.*********************.****~*..**.******.*****.,..**** <br /> <br /> <br />COI\1PANy\D~~ RbOC ~ _ <br />STATE CERT OR REGIST # <:Cc..05-r7~ <br />CITY PROCESSING # . _~_~_ <br />;:.:j ;-s ( () <br /> <br />* ****************..******.....*....*******...******.... <br />