Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />DATE RECEIVED <br />J<. VC-le...;{. Kil\;G....."f <br />PERMITTIN, f'~) 7~o-~4~L <br /> <br />OWNER'S NAME ~r- Uc. e \tl1c. Ge ~ Qe <br />JOB ADDRESS 3 'is- I t-J I S -L~ 40-{ <br /> <br />PHONE ~ 11 - 7~ 3 - III ~ <br /> <br />I Z~r~ir~:II<:: Fe <br />I <br />BLOCK SUBDIVISION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL 10 # -1/ - d lo - ~ 1- ()o 10 - IS 700 - D 1/ 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTlCEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL <br /> ~IGN o MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> '-G} o INDUSTRIAL [j SWIMMING POOL D OTHER <br /> '.' COMMERCIAL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />1\11 S -t-h II <br /> <br />f\Jf(.\AJ VV/ ~yt Ii ,\ ~ .'1 VJ <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PI~S <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IE' SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />~ (_,,0 <br />If) <br /> <br />PERMITS REQUESTED <br /> <br />P'SUILDING <br />o ELECTRICAL <br /> <br />$ J~ 00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />o FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br /> <br />"'~'mr.. <br />,\,;.;,',', \.:< ~~,.',"'/ ,~i^,:,21'tft.' <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # . <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHER M~ ~ tJl' ~ l' JV) <br />SIGNATURE t~ bJ~~, <br />~\~-7<10-' ~l.fVL I <br /> <br />***************************************************************** <br /> <br />COMPANY K05P\0. S;") h . CL'J r F <br />STATE CERT OR REGIST # l="" S 4 ~ LJ 17 <br />