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 --- "'"2. 04- <br />DATE RECE lVED ~IAfI) "I 0 <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />JOB ADDRESS <br /> <br />lJo^,A lot> <br />3~ 13:5 --i/H <br /> <br />s. .t\-e.NC~ <br /> <br />A"~ ZCf'+iYEHtl..L>, Fl- <br /> <br />BLOCK I 2. 4- <br /> <br />PHONE _ '7t.13- "1 4-~-~3b4 <br />33 5"42.. <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) \\,1'2..4--1'3 <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br />PROPOSED USE:~~L FAMILY DWELLING <br />o COMMERC IAL <br /> <br />o ADDITION <br />[J MOVE <br /> <br />iOBT.t\IN FROM PROPERTY TAX NOTICE) <br />~TERATION ~EPAIR ffINSTALL <br /> <br />[J DEMOLISH <br /> <br />[JMTJLT I - FAMI L Y <br />[J INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOB HE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />R.;~ ROt>~ IN C ~TEP. of DwE:.L.I...4" t:r- <br />'I C. 51C6 ~tJ1) <br />X. '2-4 0rleA)SQUARE FOOTAGE <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 />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />HEIGHT <br /> <br />BUILDING SIZE :2..4 <br /> <br />[J BUILDING <br /> <br />~...., c:::' 00 <br />$ ,.. \ 700 . <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />[J SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED F'LOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES [J NO <br /> <br />[.~~~:.:_____ . CON'lRl>.CTOR~~~::XON_ll~..m.__~...__1 <br />dn,d/,d~ <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************.********* <br /> <br />SIGNATURE <br /> <br />~~41)' du~/M- <br /> <br />COMPANY <br /> <br />DW1"\VY <br /> <br />ELECTRICIAN <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 />