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 />eQl.l(~ / <br /> <br />7~ -<7-0/ <br /> <br />DATE RECEIVED <br /> <br />'/ -';<;2.tJd <br /> <br />, <br /> <br />--.'----. <br /> <br />\;-- PHONE CONTAcT FOR PERMIT~T"."G1.?___./~ <br /> <br />OWNER'S NAME n Fmr-..A R. Gd 1L\.n.S . PH~~l ~l - \ ~;)..y <br />JOB ADDRESS ~g 1 01 5th ~ ':Z\:..p\1 ~h, \)s .' ~'l- ~'3'---- <br />LEGAL DESCRIPTION: LOT (S) ." " BLOCK 15)? <br />\~ <br />PARCEL ID # \ \ - d (g - ~ \ . ~() \ 0- 15)(:('j\)- 0) 't)C) <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />[] SIGN <br />PROPOSED USE: []SGL FAMILY DWELLING <br />~ COMMERCIAL <br /> <br />[] ADDITION <br />[] MOVE <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />~TERATION [] REPAIR [] INSTALL <br /> <br />[] DEMOLISH <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[]# OF UNITS <br />[]SWIMMING POOL <br /> <br />[] MOBILE HOME <br />[] OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ""Re.m ~ Ia-j ~r€.. ~(\ -t- LVLn ~ ('A, i:lS <br />BUILDING SIZE SQUARE FOOTAGE HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENE <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL ~;~ONSTRUCT <br /> <br />PfJPC 1/'1-7 ~, , <br />PERMITS REQUESTED N <br />VALUATION OF TOTAL CONSTRUg"'O;p6v1\1V <br /> <br />[] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br /> <br />SET ENERGY FORMS. <br /> <br />\0 BUILDING <br /> <br />$ iO, 000. <br /> <br />. <br /> <br />[] PLUMBING <br />[] MECHANICAL <br /> <br />$ <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />VALUATION OF MECHANCIAL <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES [] NO <br /> <br />BUILDER ~ <br />SIGNATURE <br /> <br />C~roR :,SECm:tOli <br />. ,,' ""'.,,' ", ~, . l' <br /> <br />/) COMPANyl er'J frr.J.j <br />l '/~ ~ STATE CERT OR REGIST <br /> <br />I <br />c:~ ~A}thm <br /># ~ t O.~Ct:J. 0.3 <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 />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />