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 Q _ ~iJ-iJ ~ <br />DATE RECEIVED ..I- ".L_...;) <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME Gt2/9 /V~ Ho/Zf Ztj(V' M H P <br />JOB ADDRESS -:?'7Lf/o jVFU /CaJll/t. AVE Lo., 31' <br /> <br />PHONE g;~ -7~ Z - 1 D " t{ <br /> <br />SUBDIVISIONGM;v.t7 I-Io/Zf ;?o,<./ jY/ 1-1-1 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />)~-2-5"-2(- 0010- 02500 - 037'0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br /> <br />0'ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />mNSTALL <br /> <br />DSIGN <br />PROPOSED USE: ~- FAMILY DWELLING <br />o COMMERC IAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBI LE HOME <br />o OTHERIILl.#I1INc/1/l <br /> <br />DESCRIPTION OF WORK <br /> <br />, D ~AURANT <br />(!!:!V <br />1'I);x I L 51-16(/ <br />/ <br /> <br />& HEA~PARTMENT APPROVAL <br />.2.IG <br />I Z X f' ~ (E~ ..sC;Cct3"fI J?dOM J <br />, <br /> <br />720 <br /> <br />@j) <br />, 2 ({ 3 z.. CA/2./OIZ-T <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />[1(8UILDING <br />~ECTRICAL <br /> <br />$ <br /> <br />/ if !;/ s: 4D <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W . R. E . C . tJ) f2f [; ffEiJ <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <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 />"i\: 'J1IV~:'t(fitt"J):}l~ .~'.;t;, Hili'::'; ~ <br />',' t~~~~d~ <br /> <br />SIGNATURE <br /> <br />~ JL CbU2 <br /> <br />COMPANY 13 1:1-1 (OIV~ rllvc r([)# OF CI/VT(U<- ~L. <br />STATE CERT OR REGIST # C {5C () S 77 ~Z-- <br />CITY PROCESSING # ~ <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />/1. <br /> <br />~ <br /> <br />COMPANY Hc...C I:::L-E( ,!2-1 <- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # )'-7 <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <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 />