Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 STH St, Zephyrhills, FL 33542 <br />S13-7S0-0020 FAX:S13-7S0-0021 <br /> <br />DATE RECEIVED <br />""Tl-Jo~ <br />PHONE CONTACT FOR PERMITTING (81~}'<23,cm ( <br /> <br />OWNER'S NAME l~ I (1)[1 r-.rf ~ <br />JOB ADDRESS 5~ I ~ S:S-fb. <br /> <br />F=-t Dr ~Ul <br />,Sfrp IJ. +- <br /> <br />j).e.-h> J I <br />bpi--). if~; 'b <br /> <br />PHONE <br /> <br />I'=L ~ 39-4? --I <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # -LJ . ~ . ;tl - en , 0-- '~()OO- C \ C> D <br /> <br />(OBTAIN FROM PROPF.RTY TAX NOTICEl <br /> <br />WORK PROPSED: []NEW CONSTRUCTION D ADDITION 'if ALTERATION D REPAIR D INSTALL <br /> DSIGN D MOVE D DEMOLISH <br />PROPOSED USE: D SGL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS o MOBILE HOME <br /> D COMMERCIAL D INDUSTRIAL D SWIMMING POOL D OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />Up~ra.L, t )~~ ~ t +r-- hrlOnLrofb'1eJ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />~ l )pt) YO"~ ele_~.J'Yi c. l A <br />HEIGHT 9~r- <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 />D BUILDING <br />~ ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />9( FLORIDA POWER <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />D PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />GQN~g~:R;$ECTION <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE l~k'a, (r R.. <br /> <br />COMPANY Keey_ Slf'cfricn/. I1)" <br />STATE CERT OR REGIST # (44 q <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 />