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 fa 5"/ tJ;;; <br />DATE RECE IVED - / I - <br />PLANS REVIEW FEE f <br /> <br />OWNER'S NAME <br /> <br />/ <br />t. <br /> <br /> <br />/& : ,J1.:' fv' rt:~ s & ~ / <br />r-/7t/C~ {p ,4[1 <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />J J ./ <br />LEGAL DESCRIPTION~: LOT (S) () BLOCK <br />'/ .. 'Z-h - rl,i)O~ v b 0 / v 0 <br />PARCEL 10 # ~ - <br />WORK PROPSED: ~CONSTRUCTION <br /> <br /> <br />;~DIVISION <br />..... {; 0 ~TAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBI LE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o <br />;{f <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />/~ ~ J) ~~ fJc d,' jY.A/;' <br /> <br />I <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERG-Y.~F'ORt.:lS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. /:_~,v.~" \ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. / \ <br /> <br />f)01J-1 <br />t <br /> <br />PERMITS REQUESTED <br /> <br />:' <br />t <br /> <br />o ~ILDING <br />g'ELECTRICAL <br /> <br />$ <br /> <br />\ <br />VALUATION OF TOTAL CONSTRUCTION' <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E,C. <br /> <br />o PLUMBING <br /> <br />o IvlECHANICAL <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 FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *J *1 *;~ *J * * (~j*.;- ~n,.*~*u <br /> <br /> <br />Jj./' I COMPANY /Vle r · tf":J <br />t/~l f1/eY STATE CERT OR REGIST # // tv ~OO "C-lj <br />CITY PROCESSING # "&-~ v <br /> <br />ELECTRICIAN <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 />