Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 e9 St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-Q021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />tall:,J I'dP;/& <br /> <br />JOB f-DDRESS ,,'ttl A<.? ~ <br /> <br />LE~ DESCRIPTION: LOT (S) () QO() BLOCK tf) /JOOSUBDIVISION <br />PARC~L ID # 03" Z b . t/.. iJ f)o tJ, tfi /Ot!J& -" I~ ()tJ(J lORTAIN FROM <br /> <br />OWNER'S NAME <br /> <br /> <br /> <br />PHONE <br /> <br />PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />[J SIGN <br />PRO~OSED USE: []SGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br />[J DEMOLISH <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />[J MOVE <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 />OES~IPTION OF WORK <br /> <br />q RESTAURANT & HEALj::EPARTMENT APPROW I ~ I" <br />ftJo 1,' D 1ft;- 7 v" l .fty;4. "" tv' Itt. ~ 71/ etJ (/ - <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIUENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMBRCIAL: 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 />o BUILDING <br />[J ELECtRICAL <br /> <br />$ <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 PLUMJI3ING <br />[J MECIUNICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[JGAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE <l>F CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISaED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES [J NO <br /> <br />CONTRAC:TORJ'$ECTIQN <br /> <br />BUILDilR <br />SIGNATURE <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />ELEC~ICIAN <br /> <br /> <br />***********~~~*********************** :i;:~;;;**:~~~~~ <br />111 /pt/'/ COMPANY - 1./ <br />~/ /'1)' / STATE CERT OR REGIST # "2"t- <br /> <br />SIGNA'!1URE <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 />SIGNATtIRE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br />SIGNATVRE <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br />