Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8D St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT <br /> <br />DATE RECE lVED -:2 - 2 -:s -() cj <br /> <br />FOR PERMITTING 6"'G-IoJ r..... L{ r 6 / <br /> <br />OWNER'S NAME <br /> <br /> <br />Lea50r <br />Oa" 'E"""-".S PHONE -i'%t Vcl5 .,Q <br />?-~k-(&,I1i- 51St{; <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # <br /> <br /> <br />BLOCK SUBDIVISION <br />(2.- af\..J... 13 ldw'~~ lu;,j/tl~p.~e .)..\ l2.usr- <br /> <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~OMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br /> <br />HEALTH DEPARTMENT APPROVAL <br />..., <br /> <br />sJeWU( k <br /> <br /> <br />e (.ec/n/~I <br /> <br />SQUARE FOOTA~E ~) GO 0 <br /> <br />HEIGHT <br /> <br />(i' \ <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 />[DIBUILDING <br />nYELECTRICAL <br /> <br />$ J frO. GOO, OG <br />J <br /> <br />lOO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~~~i. <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />ISJ/ FLORIDA tER 0 W.R.E.C. <br /> <br />. ~~' ,'Ill! iJ j LtJ. PflU ~ <br />-:). - v aU-- ,~v- . ~/J vtJ. <br />I '}/ .I . . ~i)I),/J)1l,;r-;. LA . <br />VALUATION OF MEC IAL INSTTr:~~" '. <br /> <br />o OTHER .!I(.n ~ ~/'=::= <br />rt-vSTEEL 0 OiER ,II: .. /'-'.~... ././- <br />~ ;:> AV{/ /'.... <br />IS PROJECT IN FL O~':~AD YES ~O <br /> <br /> <br />~LUMBING <br />o MECHANICAL <br /> <br />$ 1f-1- <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />,/ <br /> <br />BUILDER ~ ~ <br />SIGNATURE J _____ ~ <br />-' <br /> <br />CO~CTO:R$ECTIQN <br />COMPANY ~S Co0strVC-b<l,,)e,-v~'C'e:5 <br />STATE CERT OR REGIST # CGC () 666 L/ b <br /> <br />BLECTllICIAN ~ <br />SIGNA~URE V ~&:/ / <br />I I ' . <br /> <br />i ****************************************************************** <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY W \ y(~ d'€-d-r1\ C <br /> <br />STATE CERT OR REGIST # <br /> <br />=-~ <br />SIGNAWRE ~ /- <br /> <br />COMPANY cAns Bq~ i f rUM ~lrltt..q <br />-./ <br />STATE CERT OR REGIST # ll'F-oolf (~ <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />/VA <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br /> <br />O'l'HBR X (L hf\ I)P I fa. vtl'j COMPANY .T [,( ~ n f'.l ~4 fA /'j <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />