Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED 7-//-D3 <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME A l~<; l~ rt)~~(~' c ,00 <br />JOB ADDRESS -"11 0\ c;~~ ~ \vc-J SLU=~ f\--s <br /> <br />PHONE 1\:;$- 63,1 - to i cO <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />~N <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~OMMERCIAL <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />WORK-=+~ S* ~ ~V~ 10,'(' 0- (c;l'~t-lS - \=<-0 .<T ~ ~ ~ ~~ ~D N<;"_ <br />SQUARE FOOTAGE 2.1 Z 0, HEIGHT <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />TAX NOTICE) <br />~INSTALL <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />DESCRIPTION OF <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROpeRTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTJON. ( ~~ol ~~..~ . <br /> <br /> <br />PERMITS REQUESTED ~I ~~ /rJ ~ <br />$ - A.D \ qIJ J.\; V Al.U1\ T ION OF TOT 1\L CON S TR DCT! ON cj {lOr- <br />AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. <br /> <br />~UILDING <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL $ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />~ OTHER <br /> <br />./ <br />INSTALLATION ./ ~,??-'J':, <br />qD~~Ji (j)~ <br />~1 <br /> <br />o NO <br /> <br />VALUATION OF MECHANCIAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />IS PROJECT <br /> <br />SIGNATURE 1/ <br />~ <br /> <br />COMPA~t\O~ C"~)~\~l~'-~_C <br />STATE CERT OR REGIST # - So . B::J, <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />**********************************~******************************* <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />Cm1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />