Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />9 - /s-- 0 -'A <br />DATE RECE IVED _ --.J <br />PLANS REVIEW FEE --- <br /> <br />OWNER'S NAME FirSf (,ull'te.ri JYI-e..+fuxjist ChulC.-h PHONE 7E;;). -5(0'+5 <br /> <br />JOB ADDRESS 3g(O~5 5-tA Av€()~ } 7eph:ir-hi Us 3354~ <br /> <br />LEGAL DESCRIPTION: LOT(S)~~15 BLOCK '\'3Q SUBDIVISION~ '14\ p~ If7qg <br />PARCEL ID # /I-~-~I-OOIO -[5000- 0090 --rotf~T<1rl1~~ ~J~ER~f ~A)f~~~E) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION j<ADDITION OALTERATION 0 REPAIR 0 INSTALL <br /> <br />o SIGN 0 MOVE 0 DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />BJot Ccf)CK"ek. handl-caf r aM-f cd- <br />SQUARE FOOTAGE 3 f) C) ~ <br /> <br />N W ~C-L- rb.c <br />o~:. Hf~f __~. <br /> <br />..--- ..., <br /> <br />BUILDING SI ZE <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />//,,--, <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & (l)/'SET ENERGY FORMS. <br />OF BUILDING PLANS & (1) SET ENERGY F~. .~ <br />REQUIRED FOR ALL NEW CONSTRUCTION'/j J~ 09' <br /> <br />/ (u - /;;-:3 I <br />PERMITS REQUESTEDI 7 \I 0 j;.u, <br /> <br />VALUATION OF TOTAL C~STRUC'j'roN (! /' <br />. ~ <br />o FLORIDA P'ow.~R _ ___l?____~._. _.__ <br /> <br />;;-~-~\ <br />VALUATION OF MECHANCIAL INSTALLATI(O'-./~ 17 '3/iU i <br />o OTHER --if /' <br />o FRAME 0 STEEL 0 OTHER <br /> <br />, <br />\ <br />\ <br />\ <br />! <br />l <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />~LDING <br />o ELECTRICAL <br /> <br />$ 500, - <br /> <br />.' <br />, <br />"./'// <br /> <br />AMP SERVICE <br /> <br />o PLUMBING <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES P(NO <br /> <br /> <br />BUILDER ~.-' <br /> <br />SIGNATURE ~111;7/1 <br /> <br />, 10MPANY <br />1.-< C-- . TATE CERT OR REGIST # <br />I ..:;<~ {j.i/~ris ITY PROCESSING # <br />'. <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <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 />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />