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 />7:21-1))/ <br /> <br />I <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME _ )qm.ec, <br />JOB ADDRESS 3Q,).!S- <br /> <br />~z '" ~ f\. <br />t -i.'-'4e <br /> <br />2 - Ht/Is <br /> <br />Fie. <br /> <br />~,...._~__r . ~"""_'_"-", <br /> <br /> <br />~~-~,~) <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />~RCEL-:r.r;f--') lJ..-J6 -;}...I-ooJ..A - actc10-oo;).O (OBTAIN FROM PROPERTY TAX NOTICEl <br />WORK PROPSED: ONEW CONSTRUCTION 0 ADDITION DALTERATION 0 REPAIR 0 INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK' 5h.ed <br />1:J.x::J.'1 ~W <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />~ert{ <br /> <br />HEIGHT <br /> <br />q~ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />{Lwr/f) <br />ftf1i '7. ) Df <br />1 r;R, <br />f?4 /. <br /> <br />j~UILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />'10 70~ <br />, <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W. R .05 . C . _ <br /> <br />"6. _..;)<3 <br />5~. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <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 />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br />SIGNATURE~ Y-7 LJJU <br /> <br />COMPAN~B.rcmdc4\ .5wris [Lark) 8.: Ide~ <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 />*********************************************************~,******** <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 />