Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br />PHONE CONTACT FOR PERMITTING 788 - I q / 0 <br /> <br />OWNER'S NAME <br /> <br />/I ~IV 12-/ <br />b r- 2-0 <br /> <br /><; <br /> <br />PDHJ 6 LJrJAftEAJ <br /> <br /><, <br /> <br />F i . j::::./ rJ ~ I<. IJ . <br /> <br />PHONE <br /> <br />7BB-/Q/c) <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTIr.El <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br />(J SIGN <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />(J COMMERCIAL <br /> <br />(J ADDITION <br />(J MOVE <br /> <br />'J(~TERAT ION <br />(J DEMOLISH <br /> <br />(J REPAIR <br /> <br />(J INSTALL <br /> <br />(JMULTI-FAMILY <br />(J INDUSTRIAL <br /> <br />(J# OF UNITS <br />(J SWIMMING POOL <br /> <br />(J MOBILE HOME <br />(J OTHER <br /> <br />c:J REST~URANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK I A..JTre( CJ t'( ,eB./\/6 V'-4-<J) O--.N ..s~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />(J BUILDING <br />~ ELECTRICAL <br /> <br />~LUMBING <br />(J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />(J FLORIDA POWER <br /> <br />(J W.R.E.C. <br /> <br />$ <br /> <br />(J GAS <br /> <br />(J ROOFING <br /> <br />(J SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />(J OTHER <br /> <br />TYPE OF CONSTRUCTION: (J BLOCK <br /> <br />(J FRAME <br /> <br />(J STEEL <br /> <br />(J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA(J YES (J NO <br /> <br />CONTRACTO:R.'.~,SEC'rION <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />k ?~- c <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE r ~ ~.-LD <br /> <br />COMPANY <br /> <br />~ <br /> <br />STATE CERT OR REGIST # -.JLf LIe=.. <br /> <br />****************************************************************** <br /> <br />PLUMBER <br />S IGNATURE"f <br /> <br />COMPANY <br /> <br />13~ (2 5 <br /> <br />f/b5- <br /> <br />l/ <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 />