Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 89 St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME f)IJLt;, ()/3-II.f'/'# <br />JOB ADDRESS CfBDII1-(fl.-f!.r4 ~"eI ~ ;;Joe <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PHONE 7't 2- >'fJS- <br /> <br />7Kj?~et::Ils/~ <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />/?,z.." -2.-/-0/10... Ot> Zoo - ::z.nP. 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br />(J SIGN <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />(J COMMERCIAL <br /> <br />(J ADDITION <br />o MOVE <br /> <br />(JALTERATION <br />(J DEMOLISH <br /> <br />(JREPAIR <br /> <br />o INSTALL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />(J# OF UNITS <br />(J SWIMMING POOL <br /> <br />o MOBILE HOME <br />(J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />BUILDING SIZE 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 />o BUILDING <br />(J ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />(J FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />/ /If()'~ <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 />CON'rRAC!1'O:R,LSECTION <br />'. . '..........;...'..'1.. ::.,:;'" ,"..'...'. <br /> <br />BUILDER <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 /> <br />STATE CERT OR REGIST # <br /> <br />ME CHAN I <br /> <br />COMPANY <br /> <br /> <br />SIGNAT <br /> <br />STATE CERT <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />