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 RECE IVED <br /> <br />'1- /-01/ <br />. I <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME ~,Vl SGtro~ <br />JOB ADDRESS S8~ -/~-fh SrRJ3er <br /> <br />LEGAL DESCRIPTION: LOT (S) ~ .y~ <br />PARCEL ID # /1-;2.{g-2/-0()/J-()Jr;tJU-O{)l]O <br /> <br />PHONE g i.3 / 7/3- 200'2. <br /> <br />~~ SUBDIVISION <br /> <br />BLOCK <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />DSIGN <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o REPAIR ~~~. <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />U MOB I LE HOME <br />~THER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APP~OVAL <br />:J;widw /52 ~ J... r: &:i~ WlJUb r'e;JJu t~ ur f-tv<k66' <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE 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 />o ELECTRICAL <br /> <br />/P &" PERMITS REQUESTED <br />I~o VALUATION OF TOTAL CONSTRUCTION <br /> <br />$ <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />AI /' ~?l-I'/OlqS <br />11- (j <br />VALUATION OF MECHANCIAL INSTALLATIJ.:/" (~ 5 (J <br />/':'1 <br />o OTHER /..",- /f <br />-/~' . / <br /> <br />o PLUMBING <br />o MECHANICA.L <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />~ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZQNE AREAD YES <br /> <br />SIGNATURE <br /> <br />(J/~ ~tt <br /> <br />CONTRACTOR .'. SECTION I <br />COMPANY C jll/~ y/~I ~ (JrJ~7/1y<<f77 wJ <br />STATE CERT OR REGIST # <?Be,.- OSg nl8 <br /> <br />BUILDER <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 />****************************************************************** <br /> <br />MECHANICAL <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 />