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 />/ ' // <br />DATE RECEIVED (p - ~- Or <br />PHONE CONTACT FOR PERMITTING &.,Il1 g~;-tJl Jh <br />{ _( p. J j~,uJ' <br />Gjq d ,)~ HONE 2-- "' "Z- <br /> <br /> <br />OWNER'S NAME <br /> <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br /> <br />BLOCK <br /> <br />( P~::C~~::~-.::~ <br />WORK PROPSED: ONEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULT I - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br /> <br />o REPAIR 0 IN?T~~t, <br /> <br />1bY~~~ <br /> <br />D~HOME <br /> <br />o ADDITION <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />D SWIMMING POOL <br /> <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK '/HC1'1A.'~f fiQ"1p ~r Re,,,,-,~ ~ <br />BUILDING SIZE SQUARE FOOTAGE 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 />AMP SERVICE <br /> <br />o <br /> <br />\ <br />\ <br />J <br />. (1;' / <br />-tV <br /> <br />~PILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />~ I'~p <br />00 <br />~ <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />FLORIDA POWER <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAl, <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />o ROOFING <br /> <br />D SPECIALTY <br /> <br />D 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 AREAD YES 0 NO <br /> <br />CONTRACTOR..... SECTION <br /> <br />OJ <br />BUILDER /)_ " COMPANY t/ L/ C:U~J.../ ...1...../ <br /> <br />SIGNATUREi./"/" / ~/!.e;t;;/'E, 17~ 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 />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />