Laserfiche WebLink
<br />CI'l'Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhil1s, FL 33542 <br />813-780-0020 FAX:813-780-Q021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME ~ 6K <br />. <br /> <br />JOB ADDRESS "5\3 D <br /> <br />II {~ <br />&\\ BIll J <br /> <br />_ PHONE Z13 - 03, - q~'7~ <br /> <br />LEGAL DESCRIPTION: 1.0T(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 11-~u,-d.\-OOID- {)'lOOO-DOI~ <br /> <br />(OBTAIN FRON, PROPERTY 'tAX NOnCE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />DS1GN <br /> <br />DADDITION <br /> <br />DALTERATION <br /> <br />o REPAIH <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />OMULTI-FAMILY <br /> <br />[]# OF UNITS <br /> <br />o MOB ILE HOME <br />o OTHER <br /> <br />~~~~~b <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK D,-,^"lo-"t /I..o~I^iJ S'@~ <br />SQUARE FOOTAGE <br /> <br />o INDUSTHIAL <br /> <br />o SWH1MING POOT., <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />RESIDEN'rIAL: ATTACH (2) PIJOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORI1S. <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 />D BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POt'lER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICA.L <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />o STEEL <br /> <br />D OTHEB <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PRO,JECT IN FLOOD ZONE AHEAD YF~S <br /> <br />o NO <br /> <br />I ---------_____ ~~!l:~~e;!,~__m ____ r==;- _____1 <br />BUILDER 0 _ COMPANY ~ :'le-hrtA 1-ooJ'; 1/ <br />S IGNA:rUREc:)."d/ /J~ STATE CERT OR REGI ST # ((' - C- D S is J J 'f <br />' r~~ ** * * ********* ** * * * * * * * *** ** * ****** **** **** * * * * ****.. ** ** *** * * <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATlJRE <br /> <br />STATE CERT OR REGIS'!.' # ___ <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 />** <br /> <br /> <br />S;~Hit~~.."'.'.\J(;.:.."." .',""..' ".. ..... ~.'."'.""""'....' ", <br />f(.b"OH t.., :,' .',' .",' ,. '.' ":,.\ <br />** ** * * *OC'Ii'1i''''**ir~iti,** **'*~9l.;k!>* ,;,;;**, * <br />CO . ,~~r\.:',,~,':1;~<.:'::;::':~':I~.:.\i'I ,.~,:.:'~, .::'~ <br />~~,;,,,,,,.,,,.'1.,,. "'.'''1' <br />'.. 'v............." "lJl~ <br />STATE CEHT OH REGIST # <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />SIGNATURE <br />