Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8ft St, Zephyrhills, FL 33542 4/c <br />813-780-0020 FAX: 813-780-0021 '1 I to t./ <br />DATE RECEIVED ,/7 <br /> <br />PHONE CONTACT FOR PERMITTINS3q13~ <br /> <br />PHONE <br /> <br />fiO-AJ-- <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTTC-E) <br /> <br />WORK PROPSED: oNEW CONSTRUCTION <br />OS IGN <br />PROPOSED USE: oSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERAT ION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />kINSTALL <br /> <br />oMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~MOBILE <br />o OTHER <br /> <br />HOME <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH DEPARJMEN.l) APPROVAL <br /> <br />~ 0---p (hCIDIIZ <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 />PERMITS REQUESTED <br /> <br />)6"'BUILDING <br />~LECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />P<PLUMBING <br />~ECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <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 />I S PROJECT IN FLOOD ZONE AREAo YES 0 NO <br /> <br />~~ij'_~,~i-~!~~~~~;;~!.. .. <br />BUILDER' ,."',, """"'Co~p~~JJ~uJrL6 <br /> <br />SIGNATURE W-~~ STATE CERT OR REGIST # <br /> <br />ELECTRICIAN HHHHH=~H HW H:::::HJP~'H HH 'HH <br /> <br />SIGNATURE U-J ~ ~ STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />wc.-r-7i.717D <br /> <br />COMPANY 6~:dc&f <br /> <br />STATE CERT OR REGIST # <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />********************************************~*************** <br />COMPANY . <br /> <br />U)"-7--~ STATE CERT OR REGIST # <br />***************************************************************** <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />