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 lVED <br />PHONE CONTACT FOR PERMITTING 7/ J ~ J 73 '7- <br /> <br />OWNER'S NAME <br /> <br />C[){)f: <br />JOB ADbRESS .3.s~ ~ JD(j) r mil- /JJI L (j <br /> <br />LEGAL DESCRIPTION: LOT (S) ;;2 70 <br /> <br />PHONE <br /> <br />//J-2732- <br /> <br />J..-.- <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />L0J;~/j1iJ jJ I: <br /> <br />PARCEL ID # <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br /> <br />(OBTAIN FROM PROPF.RTY TAX NOTTCEI <br /> <br />[J MOVE <br /> <br />[J ALTERAT ION <br />[J DEMOLISH <br /> <br />[J REPAIR <br /> <br />D INSTALL <br /> <br />[J ADDITION <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D # OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />DESCRIPTION OF WORK <br />BUILDiNG SIZE <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />5' //:J !J <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDtNTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMM$RCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />pLj5QcJO <br /> <br />PERMITS REQUESTED <br /> <br />6 1~~1- <br /> <br />D BUILDING <br />[J ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />D PLUMlBING <br />[J MECWlliICAL <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[J OTHER <br /> <br />$ <br /> <br />TYPE jOF CONSTRUCTION: D BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />D OTHER <br /> <br />FINI~HED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />pC)~g'.1!9;R.;$EC'l'ION <br /> <br />BUILI)ER <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 />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 />MEC~ICAL <br />SIGNfA.TURE <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />OT~ <br /> <br />***************************************************************** <br /> <br />COMPANY ;7;SgN U:JI--IC/'C!C <br />D~ STATE CERT 0: REGIST # tJWJe..- <br /> <br />SIGNATURE <br />