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 /> <br />(-/~df <br />/ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />, ,/"J. I / ..1/ ,.C r -r- <br />OWNER S NAME J!>c?/\w/....... '-t./r(/(,-'?'4-0J /~I~/ <br />JOB ADDRESS 3 7/30 6'4J1cf .b)~1 cf " <br /> <br />~ ,? <br />( C;>~.?;' <br />i/ <br /> <br />PHONE 8/1- i2 7-~?Y <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: [JNEW CONSTRUCTION <br />Os I GN <br /> <br />(OBTAIN FROM PROPERTY TAX NOTlr.F.1 <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: oSGL FAMILY DWELLING <br />o COMM:ERC IAL <br /> <br />oMULT I - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING FOOL <br /> <br />[J MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />;:+:;>~ II JAt./A/ .-/$/Z f!...../l~" <br />v <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R,E,C. <br /> <br />IfYPLUMBING <br />o MECHANICAL <br /> <br />$7? c;~~- <br />--7 <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES 0 NO <br /> <br />CONTMC'1'OR.SECTION <br />. . ,", " ,"... <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 />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHER h/!I A'Vd>"f'L.-v/') <br />~ ~----------/ ~ <br />SIGNATUR~_ ____ <br /> <br />***************************************************************** <br /> <br />COMPANY ~&Vr- oL-,8PY't:-vc/ L.,u.--....... .--0>/4("'.-<f <br />> r v <br /> <br />STATE CERT OR REGIST # <br />