Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8H St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />Ir ~t}1/ <br /> <br />OWNER'S NAMEGr-r>--.nr\ ~Cl\ A 7CJn <br />JOB ADDRESS 3'[30<=6 G, \ \ O-DE <br /> <br />LEGAL DESCRIPTION: LOT (S) 'LoS BLOCK <br /> <br />PHONE CONTACT FOR PERMITTING ~ 3 Q7?:>5;;)50 <br /> <br />PHONE <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ~NEW CONSTRUCTION <br />D SIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />D ADDITION <br /> <br />DALTERATION <br />D DEMOLISH <br /> <br />D REPAIR <br /> <br />QaNSTALL <br /> <br />D MOVE <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />\)?J MOBILE HOME <br />D OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~~~O M tJ, <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 />~UILDING <br />~ELECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />'\ <br />\ <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />//~ <br />o O:::ATION OF MECHANCIAL INSTALLATION ~' <br /> <br /> <br />D FRAME D STEEL D OTHER <br /> <br />~ PLUMBING <br />~ MECHANICAL $ <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />BUILDER <br />SIGNATURE . 0J ~ <br /> <br />~g~~"~g~;;~~g~:CRti <br />". .. . ""C()MpAN~ ~ ~. A 61~ idj <br /> <br />~~~ STATE CERT OR REGIST # <br /> <br />ELECTRICIAN <br /> <br />*********************************~******************************** <br /> <br /> <br />COMPANY ~ . <br /> <br />SIGNATURE <br /> <br />W7-LJ~JP <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br />SIGNATURE LJ~~ <br /> <br />COMPANY <br /> <br />/Jtu <br /> <br />STATE CERT OR REGIST # <br /> <br />*********************************************~***~jf**~*:;r/***~ 'A <br />MECHANICAL COMPANY €).fJ'Y__tf~1~ <br /> <br />SIGNATURE I A } ~~ STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />