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 />PHONE CONTACT FOR <br /> <br />DATE RECE lVED 8 - H -01 <br />PERMITTING&t3) qf)/-g~{<i <br /> <br />OWNER'S NAME <br /> <br />~oher+ <br />3<&):2 0 <br /> <br />ScJlA/tz~ <br />l Lith M <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ONEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE:~ FAMILY <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br />DALTERATION ~EPAIR 0 INSTALL <br />o DEMOLISH <br /> <br />o MOVE <br /> <br />DWELLING <br /> <br />OMULT I - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SW IMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o RES'I'AURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK R.ep/aL.Q. )f).uJl2v [cAe -trOw) ~Ol{:.f <br />BUILDING SIZE <to y )[) ? SQUARE FOOTAGE I';).OO? <br /> <br />10 tSfV'eR-r <br />HE IGHT / r;- r!) <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 />PERMITS REQUESTED <br />- <br /> <br />o BUILDING <br />o ELECTRICAL <br /> <br />~UMBING <br />b MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 0 NO <br /> <br />BUILDER <br /> <br /> <br />....... ,'---- '...,. . <br />(jO~TAAq~~";:,SE9T:tQN <br />.... :..',- - - "....,:. "",. '..;.... , '.......,.. '.,'..' <br /> <br /> <br />(u. <br />CF -~o~'7gl2- <br /> <br />COMPANY <br /> <br />SIGNATURE <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 />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 />