Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-Q021 <br /> <br />DATE RECE IVED <br /> <br />/Z,/;9 !ro ~ <br />I I <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />,.----:-- <br />": VV1es <br />-3 B S-2 <br /> <br />~- Ldhrj"e-1- <br />'~edM~ -f- Ave-. <br /> <br />PHONE <br /> <br />'7F2~ f73b <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION -.A/ph <br />(OBTAIN FROM PROPERTY <br /> <br />1/1 of /CUJ5L- <br /> <br />TAX NOTICE) <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />[J COMMERC IAL <br /> <br />[J ADDITION <br />[JMOVE <br /> <br />[JALTERATION <br />[J DEMOLISH <br /> <br />~IR <br /> <br />[J INSTALL <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />k YSD~ ReeF <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />o ye.-y <br />~'-iez- <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOHMS. <br />COMMEHCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS HEQUIRED. <br />PROPERTY SURVEY REQUIHED FOR ALL NEW CONSTRUCTION. <br /> <br />[J BUILDING <br /> <br />PERMITS REQUESTED <br />/ I I d t ~VALUATION OF TOTAL CONSTRUCTION <br />I <br /> <br />$ <br /> <br />[] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[J PLUMBING <br /> <br /> <br />[J MECHANICAL $ <br /> <br />[] GAS '~OFING [J SPECIALTY <br /> <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J OTHEH <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PRO,TECT IN FLOOD ZONE AREA[J YES [J NO <br /> <br />r- <br /> <br />_~~~'~~7:~('s~~rr..~~ <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br /> <br />BUILDER <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 />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />