Laserfiche WebLink
<br />n\ . <br />~V <br />~ <br /> <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 />DAT:!!: RECE IVED <br /> <br />9-~p.-Dr <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />'f"o V i2- B~ <br />I .~ ~ -A-.,.' f <br />:::E::~:E~~~~OJ\:I:b ~~ ~ <br /> <br />f- b BLOCK & (p <br />PARCEL ID # cQ3' ~(:r aJ. O()~O. (') S'~()() t OC:>0) 0 <br /> <br />PHONE CONTACT FOR PERMITTING "7 ~O -\ ~~ 3. <br /> <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />:';;PA;A r:;;'i~IfPi <br /> <br />o SIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~OMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF uNfT::s <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURA&~~ HEALTH DEPARTMENT APPROVAL 'fo <br />'i> . G(Il-i.L f\ 1/ '/_1") <br />DESCRIPTION OF WORK neA{o.ce (flOOd. TI)t' fUlChet1 (:.?..g-U{tJ(J1e7(J <br /> <br />BUILDING SI ZE -:>S K ?,!-j ('1' ~ SQUARE FOOTAGE IiiJifIlt.. Wd'f HEIGHT q I <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING P'~NS & (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. ~~)2f)~L <br /> <br />~Z i )'0 <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />.~ECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />11 <br />/ I <br />VALUATION OF MECHANCIAL INSTALLATIOr I <br /> <br />./ <br />; <br />/ <br />I <br />j <br />! <br />I <br />IS PROJECT IN FLOOD ZONf AREAD <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />$ <br /> <br />L/OO.ogS2 <br /> <br />'1..--" <br /> <br />TYPE OF CONSTRUCTION rOCK 0 FRAME <br />FINISHED FLOOR ELEVATIONS Qet"<)9 n-t <br /> <br />YES ?O <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />STATE CERT <br /> <br />-~ <br /> <br />************************************************** *************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR/EGIST # <br /> <br />*********************************************** ****************** <br />I <br />COMPANY I <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />STATE CERT 0 <br /> <br /> <br /># <br /> <br />MECHANICAL ~**;;;;?** **7** ********** ****~;~;~~~***** **;7~*l~;':1.***** * <br /> <br />SIGNATURE ~~ ~ ~\ STATE CERT OR REGIST# C!.~(' C ~7 33"7 <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />