Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8n St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />~/'Z-, I 0 cj <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME ~A/A-L-() <br />JOB ADDRESS ~';-I ~ "3 <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />>, /-J~JL/c.J4;;. PHONE 7~y.... S"",,% $I <br />7711 AuE ; Z:5PIlYM,L{> / F't- ~3N2- <br />BLOCK SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: (JNEW CONSTRUCTION <br />[J SIGN <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />(OBTAIN FROM PROPF.RTY TAX NOTIC-F.l <br /> <br />[J ADDITION <br />[J MOVE <br /> <br />(JALTERATION <br />[J DEMOLISH <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />(JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />II) X' /~ <br /> <br />s4e"p <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />[J BUILDING <br />(J ELECTRICAL <br /> <br />$ <br /> <br />/ ~~ c ,..,- <br />, <br /> <br />PERMITS REQUESTED <br /> <br />-Sjn~ /JLM <br />~ f7iJ)~') <?)~LJ r~Cc-- <br /><5}; T~LS> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[J PLUMBING <br />[J MECHANICAL <br /> <br />$ <br /> <br />[J GAS <br /> <br />(J ROOFING <br /> <br />[J SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: (J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES [J NO <br /> <br />CONTRACroE'::i~;SECTI<:>N <br />:::;,:,'.. ,'." - ,':',; -::, ';.,;,-:<.:,>:, .':;:' :,. ;,:':-:'.>:_<':;":~" :'':,:, ;:/':"~?'~.' '-;' .:,',:.: :";".; ",: ,- .:-:'...:""'-:., .:-_.... .':: <br /> <br />WImER ~ <br />SIGNATURE-4..tn d~ <br /> <br />COMPANY <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 />MECHANICAL <br /> <br />****************************************************************** <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 REG 1ST # <br />