Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Sth Su-eet, Z@!)hyrhills, FL 33542 I '7 <br />813-780-002Q FAX: 813-780-0021 l ,/:; -() ,:) <br />DATS RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER"."" C'TY ~ ZtJ: <br />JOE ADDRESS (pIlI '1''' 51 . <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />tORrATN FROM PROPF.RTY TAX NOTICE \ <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />OSIGN <br /> <br />o ADDITION <br />o WOVE <br /> <br />o ALTERAT ION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />C( INSTALL <br /> <br />PROPOSED USE: (]SGL FAMILY DWELLING <br />(] COMMERCIAL <br /> <br />(]MOLTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />(] MOBILE HOME <br />(] OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />:IAJ S71J(,(, ,t;a" AtAgn Sv.s~ ~ <br />, <br /> <br />VItJ/~S(J() <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL, ATTACH (2) PLOT PLANS & (2) SETS or BUILDING PLANS & (1) SET ENERGY FORMS, <br />CO~ERCIAL, ,ATTACH (3) SETS OF BUILDING ~LANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />(] BtJILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />3eA"1L~'1 <br />( 1513)</77 <br />~ :2b7lf <br /> <br />PERMITS REQUESTED <br /> <br />(] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />(] W,R.E.C. ' <br /> <br />o PLUMBING <br />(] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />(] GAS <br /> <br />(] ROOFING <br /> <br />o SPECIALTY <br /> <br />(] OTHER <br /> <br />TYPE or CONSTRUCTION, 0 BLOCK <br /> <br />D FRAME <br /> <br />(] STEeL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES (] NO <br /> <br />[:,,:.::,: <br /> <br />,.."1[":""'''''''''' <br /> <br />~:. .ii,: .:." <br /> <br />,.,- .....;.1; <br /> <br />"..-"',,.. <br /> <br />... ';', <br /> <br />", <br /> <br />BUILDila <br /> <br />COMPANY <br />STATE CERT OR REGrST * <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*********************************************.***************+**-* <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING * <br /> <br />SIGNATURE <br /> <br />***********-*********************************************.*~****** <br /> <br />pt.~a <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNhTURE <br /> <br />~*************************+*...*.*~~****************************** <br /> <br />Mli:CHANIClU. <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE; <br /> <br />**~*.****k*****~***************w******..w*.***~***W************** <br /> <br />"""R d~ . C""AN/~ .r~_ ~~".4<<- <br />~ STATE CERT OR REGIST # .Fc~:st...1 <br />SIGNATURE CITY PROCESSING . <br /> <br />****************-************************************************ <br /> <br />I ',.I <br /> <br />or... 011 <br /> <br />~111~~1~~~7 ~n 111'1 <br /> <br />W\lvl:~ RnnZ 'V 'ADM <br />