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 />~.~ ).1"ot! <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />._~-_.._... <br /> <br />OWNER'S NAME <br /> <br /> <br /> <br />~ <br />/50 <br />(09/) <br /> <br />, ()" ---11, 7, jJ;Jvn1 <br />~ f")' <br />, 8'/3 7~l/"oY'67 <br />--"'-, 3J;.) q / <br /> <br />f oJ <br />..5 'It) A lJ t; <br /> <br />LEGAL DESCRIPTION: LOT (S) q - IS- <br />PARCEL ID # ~ - "J.{g'.:2. ) DO lOr) S;OrtJ - <br /> <br />JOB ADDRESS <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION DALTERATION o REPAIR JK INSTALL <br /> Os I GN o MOVE 0 DEMOLISH <br />PROPOSED USE: 0 SGL FAMILY DWELLING DMULT I - FAMIL Y 0# OF UNITS o MOB ILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMM:ING POOL IX OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK -Appro~ ' :?3~ '3' Si,I\t~ COI\Cxek s/46 ~r ~csk7..)J <br />0(,( ,.. . <br />BUILDING SIZE SQUARE FOOTAGE HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMM:ERCIAL: 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 />& (~~.fET ENERGY FORMS. <br />FORM~ <br />6-5\ ~~ ~j)6. <br /> <br />PERMITS REQUESTED ,jJ ? ') Y D <br />VALUATION OF TOTAL CONSTRUCTION~____..~_/ <br />AMP SERVICE 0 FLORIDA POWER 0 W . R. E . C. <br /> <br />~ BUILDING <br />o ELECTRICAL <br /> <br />$~ ,500, <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <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 />~OTHER C01'\<'..rde..- <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES Ol-NO <br /> <br />CONTRACTO:R>$ECTIO~ <br />. ,. '. " ,", ".. <br /> <br />-.J <br /> <br />BUILDER <br /> <br />COMPANY_:_~ <br /> <br />.' <br />1. <br /> <br />S IGNATURE ,,,I <br />, <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 />