Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMEN'l' 5335 8D St, Zephyrh111a,. PI. 33542 <br />813-780-0020 FAX:813-7~0-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING 1'/8-7<f,fl...33/9 <br /> <br />OWNER'S NAME <br /> <br />2-ef)c.~yh, fir <br />3%9,} t/ C <br /> <br />l<J-esle~Jn1 C1ttrC!L <br />.4v;~. <br /> <br />PHONE <br /> <br />1X'~ - 7!:>- 10 <br />f-e.u . DAY! 1>rt-o;d <br /> <br />JOB Al>DRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCE~ ID # <br />WORK FROPSED: ONEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE:OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />(OR~ATN FROM PROPF.RTY TAX NOTIr.F.l <br /> <br />o ADDITION <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />[]-rNSTALL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRI!PTION OF WORK .J~ ~-d t.v.A-4fLl.-/l~~ T/~ b.~ <br />jJd~ . /l.e4-1A-.rV7n . ,_ <br />BUILDING SIZE SQUARE FOOTAGE <br /> <br />C#.J cot~,wiA-< ~ <br /> <br />HEIGHT <br /> <br />RESIDEt'lTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLl\NS & (1) SET ENERGY FORMS. <br />COMME~CIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SlrGN P~IT ONLY (2) SETS OF ENGINEERED pQWS REQUIRED. <br />. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br />o ELECT1ICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o PrD'jY~5 €n ~Y1'1 <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMB~NG <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />OGAS <br /> <br />o ROOFING 0 SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br />FINISHE~ FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD. ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANy. <br /> <br />SIGNATUl\E <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />~ ",t,;(/c.'~ ~:h ' <br />SIGNATUlRE -y 7 vuJ-r-L <br /> <br />COMPANY p,,++, ~ .E/ee/-rlc. <br />Et:- "DC loft" <br />STATE CERT OR REGIS!.. # c.,~t - --..:B7 <br /> <br />****************************************************************** <br /> <br />PLUNBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />Nli:CHANI4Az. COMPANY &'trh~ S"h-~ <br />SIGNATUltt STATE CERT OR REGIST # (!me - tJ.<<'I7' <br /> <br />""'~3K <br /> <br />***************************************************************** <br /> <br />O'l'HER I <br /> <br />I <br />SIGNATUR\E <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br />