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 <br />PLANS REVIEW FEE <br /> <br />2 c/Lrt {c. liK <br /> <br />JOB ADDRESS <br /> <br />Sf.; ;?L! <br /> <br />{V Avf....( (.. <br /> <br />/Y)AV;I::~ <br />C I 2-ep!-hj rAt / IJ <br /> <br />PHotlE(Y/~) 779 9 YS2 <br />Ii.. ? 5 (l--fL <br /> <br />OWNE:R' S NAt1E <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OB'I'AllLFROM PRCJPE;RT.'LTAK NOTICEL- <br /> <br />WORK PROPSED: Or,JEW CONSTRUCTION <br /> <br />o ADDITIOn <br /> <br />OALTERATTOll <br /> <br />o REPAIR <br /> <br />[J IllSTALL <br /> <br />oSIGN <br /> <br />o ~1(JVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL F'N1JLY DWELLIllG <br /> <br />o COM~1ERC IAL <br /> <br />OWJLT 1- FAMI LY <br />o INDUSTRIAL <br /> <br />0# OF UtnTS <br />o SWU1MING POOL <br /> <br />o t10BILE Hm1E <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RF,STAURA1,1'I' & HEALTH DEPAR'I't1ENT APPROVAL <br />-L2r-/ of & / f1/L FiI\JCL <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGH'I' <br /> <br />RESIDENTIAL: <br />cm1~1ERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDH1G PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQIJIRED FOR ALL NEW COllSTRUr.'TJON, <br /> <br />PERMITS REQUESTED <br /> <br />0 BUILDING <br />0 ELECTRICAL <br />0 PLUMBING <br />0 MECHAtJICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />---- <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />o <br /> <br />v~.R.E.C. <br /> <br />$ <br /> <br />VALUATIOn OF MECHANl.lAL mSTALLATI01~ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF' COtJSTRUCTION: II BLOCK <br /> <br />o FRAt1E <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FIlHSHED FLOOR F.LEVATlONS <br /> <br />I S PROJECT HI FLOOD ZOHE AREA 0 YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />ffi-~- <br /> <br /> <br />*****+****************k*}***************+*******):~k*************** <br /> <br />COMPANY <br />STATE CERT OR R8GIST <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />ELECTRICIAN <br /> <br />S I G1JATURE <br /> <br />COr1PA1JY _________________ <br />STATE C8RT OR REGIST # <br />CITY PROCESSING # <br /> <br />**************************~*******;************************~****** <br /> <br />PLUMBER <br /> <br />cm1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />cm1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNl\TURE <br /> <br />*****************************************************A**k***~**** <br /> <br />OTHER <br /> <br />SIGtv-\.TURE <br /> <br />cm1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSIIlG # <br /> <br />*******************~***********************~*****k********~**~i'** <br />