Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 eTH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />0-/~ (7</ <br /> <br />OWNER'S NAME <br /> <br />PHONE CONTACT FOR PERMITTING <br />~ "------- " <br /> <br />/-t13 t:/LTo l-::rkO r 0 ~L.6'flDO <br /> <br />S:20C-( g~ 57AEET <br /> <br />JOB ADDRESS <br /> <br />$"/3- b.:2S- {O;2g <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT (S) :20 , t2.. ( BLOCK /; 3 <br />PARCEL ID # I/-:J..C-:J../ - {)~/O - /r?~OO - 0;2,,00 <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: DNEW CONSTRUCTION D ADDITION DALTERATION D REPAIR D INSTALL <br /> D SIGN D MOVE D DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING OMULTI - FAMIL Y 0# OF UNITS D MOBILE HOME <br /> ~RCIAL D INDUSTRIAL DSWIMMING POOL D OTHER <br /> <br />(ORTAIN FROM PROPF.RTY TAX NOTICE) <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />mA/p;ZC AP dLA"., f Co,vV/:1l. T gIfTH;100~ 70 fll1,v,p:rclf!' <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS, <br />FORMS. <br /> <br />D BUILDING <br />D ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />#-2 )~ <br />:::;, <br />bit /t.i <br />~. <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W,R.E.C. <br /> <br />D PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />D GAS <br /> <br />o ROOFING <br /> <br />D SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />CpNTRACTO:R.SECTION <br /> <br />SIGNATURE <br /> <br />t:/0/ lYE/(. <br /> <br />~ <br />COMPANY <br />. STATE CERT <br /> <br />BUILDER <br /> <br />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 />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />