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 />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING ~ I ~ .'1'& ~ . 009 l <br /> <br />OWNER'S NAME Gt'1 of Z-epnLpniIL~ <br />JOB ADDRESS lt~'+l Sk'( 01% lo.A~ <br /> <br />PHONE <br /> <br />7.gp~qr hi' ~ t=L '2> 2>~ <br /> <br />LEGAL! DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEl, ID# '~'~b~da .ODIO.O~<O<x"") <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK It'ROPSED: DNEW CONSTRUCTION <br />[JSIGN <br /> <br />~ADDITION <br />o MOVE <br /> <br />DALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />CicOMMERCIAL <br /> <br />DMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />0# OF UNITS <br />[JSWIMMING POOL <br /> <br />o MOBILE HOME <br />[J OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRl1PTION OF WORK Add f\€.u) Ser-u,'u.., for e.lJi~-h'f'\~ 2ee ~ put")d (()('\ +h~ <br />~ r+Y\ .:si~ o-f. 'Oo...i'nrat)N\ / ShOUJ ~ ~0~<..... <br />BUILDING SIZE SQUARE FOOTAGE HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS. <br />COMMEiRCIAL: ATTACH (3) SETS OF BUILDING PLANS & (]) SET ENERGY FORMS. <br />IF' SIGN PERMn ONLY (2) SETS OF' ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br />BJ ELECTkICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />aOO <br /> <br />AMP SERVICE <br /> <br />~ FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />o PLUMBfNG <br />I <br />o MECHAljlICAL <br /> <br />o GAS 10 ROOFING <br /> <br />$ <br /> <br />[J SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLA'rrON <br />[J OTHER <br /> <br />TYPE O~' CONSTRUCTlON: 0 BLOCK <br /> <br />D FRAME <br /> <br />[J STEEL <br /> <br />D OTHER <br /> <br />FINISH~D FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />" <br />W::,~ <br /> <br />.' 'm" /);:;:8'1;" 'I' 'm'.'S"i!" <br />. "". ?~... .' ..""'. "". -".-' " <br />",' ....;./,)- .,.' '. c"-,.:'. <br />.,"',."..,.',,,.......,.,.....,,.....,., <br /> <br /> <br />BUILDE~ <br />i <br />, <br /> <br />COMPANY <br /> <br />SIGNATulRE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN COMPANY&e.s.e.. EI-e.ctn'<..o. i. .11-)<...-. <br />SIGNATU~E ~~. R 0 . STATE CERT OR REGIST # Ec.. l3COI2>53 <br />I ****************************************************************** <br /> <br />PLUMBER <br />SIGNATU~E <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHAN I4:AL <br />I <br />SIGNA'l'U~E <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER i <br />SIGNATU~E <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br />--.~----_._.,.~-------- <br />