Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPAR~~NT 5335 8th Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 / _/~ _ O-:z.. <br />DATE RECEIVE~, _~ <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME 6-~J <br /> <br />..... <br /> <br />,JOB ADDRESS 1....,;/ ~7 <br /> <br />/IoAI ""Z ..~...J <br />,7'7S~ Y Nc: ....j(o~ Av-e... <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEl, ID it <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 0 NF~W CONSTRUCT ION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os rGN <br /> <br />o MOVE <br /> <br />o DEt10LISH <br /> <br />PROPOSED USE:: OSGL Fl\MILY D~lELLING <br />o COMMERC TAL <br /> <br />OfvlULTI - FAt1IL Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMtHNG POOL <br /> <br />~LE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTt/IENT APPROVAL <br />fr1,f( <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RES IDENTIAT~: <br />Cm1HERCIAL: <br /> <br />ATTACH (21 PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />ATTl\CH (31 SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />.~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICl\L <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R,E,C. <br /> <br />o PLUfv1BING <br />o MECHl\NICAJ~ <br /> <br />$ <br /> <br />VALUATION OF <br /> <br />'\ ' <br /> <br />//'1/:5)- ) <br />MECHANCIAL IHSTA[,LATION ~ <br /> <br />o GAS <br /> <br />o ROOF'lUG <br /> <br />o SPECIl\LTY <br /> <br />o OTHER <br /> <br />TYPE OF' CONSTRUCT ION: 0 BL,oCK <br /> <br />o FRAt1E <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br /> <br />BUILDER <br />SI(;NATURE GJ~~;t:) <br /> <br />COMFANY L5.~ <br />STl\TE CERT OR REGIST # <br />CITY PROCESSING it <br /> <br />**~***~**~***********~*+******+**~****~***+***~************~~****k <br /> <br />ELECTRICI~ <br /> <br />uJ ,. - ~LiJ l:Jy;J,' <br />SIGNATURE ~_ <br /> <br />COfvlPANY )1c... <<- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />********************************k~*************~****~**********k** <br /> <br />L?~ <br /> <br />SIGNATURE: <br /> <br />COt/]PANY <br />~D STATE CERT OR REGIST # <br />6-J ' CITY PROCESSING it <br /> <br />************ ***************************************************** <br /> <br />MECHANICAL <br />SIGNATURE W ~.w <br /> <br />ffc..-- <br />COMPANY - <br />STATE CERT OR REGIST it <br />CITY PROCE:SSING * <br /> <br />*****~*************~****4******************~*****~****~**~******* <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**********************************************~**k********'******* <br />