Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-180-0021 <br /> <br />DATE RECEIVED <br /> <br />g'-/I-of <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />F S/9 L/fi <br />~ ~ a.-r //~ ~ /9~ <br />LEGAL DESCRIPTION' LOT(S) -tM I~ BLOCK 77 SUBDIVIS~O~~t;:;gz <br />PARCEL'ID # '} / / - ~"'::H"-~/6 - 077ce::. -06/6 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />OWNER'S NAME <br /> <br />~/1/r /?/Om., <br />38fl3~ //~ ~ <br /> <br />PHONE a-/3 oJ S~- ?~ <br /> <br />JOB ADDRESS <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR ~INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS 0 MOBILE HOME <br /> <br />o COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL A OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APP~O L . rJvx~ / <br /> <br />DESCRIPTION OF WORK' 4~~~ Sf~~~ t:dJ2~ /tJ~ <br /> <br />BUILDING SIZE SQUARE FOOT~~~ t;~ -=--;JHEIGHT ~ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUIL~~tCANS & (1) SET ENERGJlFORMS. <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 />'\ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />J' :J J. 9 c;j <br />~/ <br /> <br /> <br />~UILDING <br />o ELECTRICAL <br /> <br />/.$ <br />./'" <br /> <br />S-tJiJ ~ eg <br /> <br />PERMITS REQUESTED <br /> <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <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 AREAO YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />. STATE CERT OR REGIST # 665? 6 <br />*******************************************************~??~r~L/1 <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 />