Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />l:?lo-otf <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME &..b~ ~CO~S <br />JOB ADDRESS , '""\1 <2S' ~ \ t3\UCJ( <br /> <br />PHONE "") 8 do - a.D8'8 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # ~-J.(,..~l .. 011)'0.. O~~O- 00, 0 <br /> <br />{ORTAIN FROM PROPERTY TAX NOTICF.1 <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: []SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />[] MOVE <br /> <br />[JALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />[] INSTALL <br /> <br />OMULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[]# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK~ ~ ~ - ~1. ~ol~+ <br /> <br />~awY <br />SO t:. <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 />[] BUILDING <br />[J ELECTRICAL <br /> <br />PERMITS REQUESTED <br />1-' ~" oc. <br />$~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E..C. <br /> <br />.. ~ ')5'1; <br />J <br /> <br /> <br />[] PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLA.T <br /> <br />[J GAS <br /> <br />o ROOFING <br /> <br />[J SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />BUILDER <br /> <br /> <br />GO~qT();RiSECTION <br />. CC<<PAN;' ~~ -S~ \2.,"h :J'AL<.. <br /> <br />STATE CERT OR REGIST # CL-CJJei?/31 <br /> <br />SIGNATURE <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 />.. '. ...1<'1., ...... .""" ,i~~,~._,~..r.;' _...'.....~ <br />~.,"fI'.... " .< '.' .,,", ',1, ":" t , '" """-.",,."', '.~. ",. '., 'A <br />~***~~*~***~~~*******~***~'*****************************~*.****** <br /> <br />STATE CERT OR REGIST # <br /> <br />.,- '_". ,~>- }"'.. \1.j.:-, ~~:'_" ,', ; <br /> <br />...\ <br />'. <br /> <br />~ <br /> <br />OTHER <br /> <br />.; ~:,,;. , <br /> <br />COMPANY <br /> <br />~, <br />; . <br />} <br /> <br />,? I" <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />,,-,;:4.#1" \trio <br />