Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhil1s, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME E I"'IC '3, 14 '-I c.0 -€../' <br />JOB ADDRESS. ......19 O.y~ C I'J Y' d I kJ4/ 4 tJ < <br /> <br />PHONE B-1,] 7 J.) O~6 0 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 13 - 2... 6- ~~ 0100 - 0060eJ-O 20 0 IOBTAllLE'ROM PROPERTY-1'illL..NQT..ll:.E.1-- <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERA'l'TOtl <br /> <br />o REPAIR <br /> <br />rJ INSTALL <br /> <br />DSIGN <br /> <br />o HOVE <br /> <br />o DE~10LISH <br /> <br />PROPOSED USE: DSGL F'A~1TLY DWELLING <br />DCOM~1ERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF' UNITS <br />o SWIMMING POOL <br /> <br />o ~10BILE Hot1E <br />~HER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTl1ENT APPROVAL <br />S'hc:.J <br />I c-/ I :3 0 I <br /> <br />I~L)t 30) <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGH'!' j I <br /> <br />RESIDENTIAL: <br />Cm1~1ERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILD U1G PLANS & (l) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW COllSTRUr.'TJON. <br /> <br />PERMITS REQUESTED <br /> <br />0 BUILDING <br />0 ELECTRICAL <br />0 PLUMBING <br />0 MECHANICAL <br /> <br />$ ,-S-:7~/0. f,G <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />M1P SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF' CONSTRUCTION: 0 BLOCK <br /> <br />o FRA!1E <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FHIISHFW FLOOR ELEVATJ ONS <br /> <br />IS PRO,JECT I N FLOOD ZOHE AREA 0 YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br />SIGtlATURE L~ , &./1 .......d <br /> <br />.A <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**~**+****************k*~*******************k*+*****~***~********* <br /> <br />ELECTRICIAN <br /> <br />cm1PAllY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGUATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />Cm1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />Cm1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNJ\TURE <br /> <br />Cm']PAIJY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />*******~**********************~*****************~k********~***~** <br />