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 />fr ";lIt';/" <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME-1-hvrl1~I[Jr <br />JOB ADDRESS~~ 0 Of (p -rn s+ <br /> <br />'I 'b~ 37;)d., <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />PROPOSED <br /> <br />Os I GN <br />USE:~GL FAMILY <br />o COMMERCIAL <br /> <br />~DITION <br />o MOVE <br /> <br />!OBTAIN FROM PROPERTY TAX NOTICF,l <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br /> <br />o ALTERAT ION <br />(J DEMOLISH <br /> <br />o REPAIR <br /> <br />(J INSTALL <br /> <br />DWELLING <br /> <br />(JMULTI-FAMILY <br />(J INDUSTRIAL <br /> <br />(J# OF UNITS <br />(J SWIMMING POOL <br /> <br />(J MOB I LE HOME <br />(J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~ C~JYY'\ {jOlL It nJ <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 />o ELECTRICAL <br /> <br />$ <br /> <br />10 000 <br />( <br /> <br />PERMITS REQUESTED <br /> <br />~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />(J FLORIDA <br /> <br /> <br />o PLUMBING <br />o MECHANICAL $ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />VALUATION OF MECHANCI <br />FtociJ ~V:+Ti:::Y{ aJuJr-'lc.y,z-r~ <br />,u;0tF\'I':;'O (lfll~fL {~ <br />(J STEEL ro'ToHER .5t-t~6 ItJ f't:;.rl~/\J <br />IS PROJECT IN FLOOD ZONE AREAO YES f 0 NO <br />D Lf I G l:ri..vr+- Ii :IN <br />C()NTRAC'l'O~.....SECTION <br /> <br />o OTHER <br /> <br />o GAS <br /> <br />(J ROOFING <br /> <br />(J SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />(J FRAME <br /> <br />BUILDER ~ <br />SIGNATURE -.&.. ~~ <br /> <br />COMPANyJ ~ <br /> <br />~ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />0Uk1-Q( <br /> <br />COMPANY <br /> <br />v WN.AI <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 />SIGNATURE <br /> <br /> <br />************************************[S**************** <br />COMPANY c,JfUJ.,V <br /> <br />MECHANICAL <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />