Laserfiche WebLink
<br />cfi!dl3 -tY-e Y <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION 3 h/Ot/ <br />BUILDING DEPARTMENT 5335 aTR st, Zephyrhills, FL 33542 1~/1 r <br />813-780-0020 FAX: 813-780-0021 ~ <br />DATE RECEIVE~~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME h }/(Y/iJIJt/ <br />JOB ADDRESS 37 '1;;.;J., 72-1 &rrt LO~IJ <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL 10 # /0 .-JIo -;)/ -O/;}o -OtXnJ - ()R{) <br /> <br />PHONE 7t"fi-55on <br /> <br />SUBDIVISION [Je.()clc(JJofJ!J <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />[] SIGN <br />PROPOSED USE: []SGL FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />[] ADDITION <br /> <br />[]ALTERATION <br /> <br />[] REPAIR <br /> <br />[] INSTALL <br /> <br />[]MOVE <br /> <br />[] DEMOLISH <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[]# OF UNITS <br />[] SWIMMING POOL <br /> <br />[] MOB I LE HOME <br />[] OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />!JJ;/{/c Ie: - 1UJ;5CI) fJect:- /0 V ;J;+/; tl <br />I / <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br /> <br />S.~ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SE <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIR <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONST <br /> <br />D BUILDING <br /> <br />oJ <br />$ {.;JijDQ <br /> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[] ETJECTRICAL <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />[] PLUMJ!3ING <br />o MECHANICAL <br /> <br />$ <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAHE <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES D NO <br /> <br /> <br /> <br />BUILDIlR <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNAtURE <br />! <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 />****************************************************************** <br /> <br />ME CHAm I CJ\L <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTIlER {i;./(f~ <br />SIGNATURE {J ~ <br />II <br /> <br />COMPANY <br /> <br />/'Z/5o~ (;JA/Cf"e-fe- <br />/ <br />STATE CERT OR REGIST # <br />