Laserfiche WebLink
<br />DATE RECE IVED <br /> <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8ft St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-Q021 <br /> <br />OWNER'S NAME <br /> <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBPhVISION <br />PARCEL ID # ( ( - 2-6 - 2-( - ~~ ( 0 -I 'f5f)[) ~~~A~ FROM <br /> <br />PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION D ADDITION [JALTERATION D REPAIR [J INSTALL <br /> D SIGN [J MOVE D DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULT I - FAMIL Y D# OF UNITS D MOBILE HOME <br /> DCOMMERCIAL D INDUSTRIAL D SWIMMING POOL D OTHER <br /> <br />BUILDING SIZE <br /> <br />, ~TH DEPARTMENT APPROVAL <br /> <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />DEScRIPTION OF WORK <br /> <br />PERMITS REQUESTED <br /> <br />& ( 1) SET ENE~~YF()RMS., <br />FORMS. /~:._._----\ <br /> <br /> <br />//~:;2 q {J. 9 <br />It/ft <br /> <br />" <br />, <br />\ <br />\ <br />\ <br />! <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />,/ <br />/ <br /> <br />D BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />D PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />[J SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES [J NO <br /> <br />SIGNATURE <br /> <br /> <br />CQ~!I!()~,'\$EC'rION <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNAlrURE <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 />SIGNAp:'URE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />