Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8ft St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME C eft D f z 7'1.7 d:.' ~, <br />JOB ADDRESS Z'Y'7/L /f//1/C.-f::.- is /I u/"2 <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />'lid - c:) d~ K <br /> <br />PHONE <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: (JNEW CONSTRUCTION <br />(J SIGN <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERAT ION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DMULT I - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />~ OTHER <br /> <br />DEscaIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />/AlS~II,u4 ,;/ttd'. Sj;~1/J('-4.2 lad 11;..,,0 <br />I ' <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />PERMITS REQUESTED <br /> <br />D BUILDING <br />~ ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />10 (j <br /> <br />AMP SERVICE <br /> <br />~ FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />o PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />CONTAACTO:a.... SmCTIO. N <br />-.'. -.... .;.." ,. . , .. ',' . <br />L' ,_ ., ,n, ',_'" .- '. ".. <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # k~ 00':- i J / ( <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />Sa.U~A .5 <br /> <br />p/~1 <br /> <br />I <br /><{ Ii I~[ cJl- <br />. <br /> <br />SIGNATURE <br /> <br />cr~ <br /> <br />~ <br /> <br />STATE CERT OR REGIST # <br /> <br />I <br />PLUM$R <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNAlTURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br />SIGNAiTURE <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER! <br />SIGNkURE <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br />