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 />JOB ADDRESS <br /> <br />WiJlteJ" <br />3f7o,) <br /> <br />/1//, S a )( i 0 17 <br />G ora )19t?r 1-.77. <br />J <br /> <br />PHONE <br /> <br />7rfl--7/]j-- <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRI PTION: LOT (S) 7 -0 f,/ 9 CJ ' <br /> <br />SUBDIVISION 1////</1 e G ro vc <br />v <br /> <br />BLOCK <br /> <br />PARCEL I D # c! 2. - J.. b - J....I - () () Ie. - 0 00 0" - 0 ,,1.. 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />OClALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o ADDITION <br /> <br />PROPOSED USE: IXISGL FAMILY DWELLING <br />DCOMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~ MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT ~ HEALTH DEPARTMENT APPROVAL <br /> <br />, <br />DESCRIPTION OF WORK ~, <br /> <br />~ <br /> <br />~4~~ <br />SQUARE FOOTAGE 1 A () <br /> <br />HEIGHT <br /> <br />7 I <br /> <br />BUILDING SIZE <br /> <br />IOx/t. <br /> <br />RES I DENTIAL: <br />COMt-1ERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />/~oo <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <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 />~ STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />IXI NO <br /> <br /> <br />BUILDER <br />SIGNATURE ~ ~/ Jt:~ 1);1 .~ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />********************************************************k***'k***** <br /> <br />ELECTRI'CIAN <br />SIGNATURE 'f- f)~!!~ l)11- --t;~ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <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 /> <br />...' <br />