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 RECEIVED <br /> <br />7/;/Py <br /> <br />/ <br /> <br />OWNER'S NAME <br /> <br />, <br /> <br /> <br />(. PI (If-! <br />hi,) Lf I!! Dc) (tu 1-; J.j) <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />JOB ADDRESS <br /> <br />PHONE fib] -ff5Y -65:.;11 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISImJ2~tl~ V.v /(/(J 7G <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br />WORK PROPSED: (JNEW CONSTRUCTION <br />(J SIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />(J COMMERC IAL <br /> <br />(JADDITION <br /> <br />(JALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />(J MOVE <br /> <br />o DEMOLISH <br /> <br />(JMULT I - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT <br />("'oNCrCfc. <br /> <br />& HEALTH DEPARTMENT APPROVAL <br />/)r/Uc i Fu fuy-,,- [~~o()v;/ 5kIJ <br />f <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 />o BUILDING <br /> <br />oJ <br />$ 6/ f/SO. <br /> <br />PERMITS REQUESTED <br /> <br />~7, <br /> <br />")~ <br />f5U)G <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />(J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />(] W.R.E.C. <br /> <br />o PLUMBING <br />b MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />(] SPECIALTY <br /> <br />(] OTHER <br /> <br />TYPE OF CONSTRUCTION: (] BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />(] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA(] YES (] NO <br /> <br />CONTRACTOR ..... SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />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 />o~ <br /> <br />COMPANY <br /> <br />77/.s0rJ [Or! CtY'C!- C <br />/ <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />