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 />DATE RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />JOB ADDRESS <br /> <br />5~3J <br /> <br />DOl/aL T('~)tcc: /l3n~lrf ;!OtfJL <br />1ft 5f: <br /> <br />A+A <br />PHONE 7,}.,7 - q 3f' - 7;),,;)1/ <br /> <br />OWNER'S NAME L tlfJ r-i-L <br /> <br />LEGAL DESCRIPTION: LOT (S) ~ /cJ. BLOCK tf1h <br />PARCEL ID # ID -a"-,,(I- DOlO -()qlo 6() - 001,)... <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br />[J DEMOLISH <br /> <br />[J REPAIR <br /> <br />~ INSTALL <br /> <br />[J MOVE <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[JMUL T I - FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />CJ RESTAURANT <br /> <br />DESCRIPTION OF WORK <br /> <br />(lUll <br /> <br />& HEALTH DEPARTMENT APPROVAL <br />IJ,I.~k>r ~~C/fP1; hI? CRTv <br />. <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />[J BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />J251 ELECTRICAL <br /> <br />/;D <br /> <br />AMP SERVICE <br /> <br />fi9 FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[J PLUMBING <br />[J MECHANICAL <br /> <br />$ <br /> <br />[JGAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[J OTHER <br /> <br />A/. t/<:? <br />/y"'---- <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />I S PROJECT IN FLOOD ZONE AREA[J YES [J NO <br /> <br />SIGNATURE <br /> <br /> <br />GO~. '. C...... TOaL SECTION <br />.. .. ".-, ,-c'" -,:-,- _",..., <br /> <br />BUILDER <br /> <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br />. <br /> <br />ELECTRIC::Z (i/tsi <br />SIGNATURE ~~ <br /> <br />COMPANY <br /> <br />AtJJ <br /> <br />E lee me <br />8).tJJ <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 />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />