Laserfiche WebLink
<br />OWNER'S NAME <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 Mil SERViCE <br />813-780-0020 FAX: 813-780-0021 PASCO PER 11/ .nil <br />DATE 113866181- 7eieH !tJ"'''ot-'/4 <br /> <br />PHONE CONTACT FOR PERMITTINJolI Free <br />PASCO PERMIT S" <br />1-866-824- ;:" <br />Toll Free <br /> <br />O/JWd (}J / ne-r <br /> <br />J!f9'1d [).)/;.cll/'cwe, Aile 2e,;O~I'h-lk <br /> <br />LEGAL DESCRIPTION: LOT (S) _ 1v BLOCK _ SUBDIVISION.,.)'Cet% II.tJ/lau ~ <br />o J - ~ -d-(- [) cJ.-~O - oattJ - 0 '1&0 (OBTAIN FROM PROPER~~/~X~TICE) <br />/ <br />~ REPAIR <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />PARCEL 10 # <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />BUILDING SIZE <br /> <br />o COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL 0 OTHER <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL ,~U:~~ <br />N,5!LeR. <S~A a wI!. I ~~rf f- IS-Z.; /(JOt' <br /> <br />SQUARE FOOTAGE ftJ tj i ' HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: 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 />& (1) SET ENERGY <br />FORMS t _ <br />.- ~ '-' <br />IDS. <br /> <br />FORMS. <br /> <br /> PERMITS REQUESTED <br />, BUILDING 00 <br />$ 7,9oil-. VALUATION OF TOTAL CONSTRUCTION <br />o ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />o PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 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 /> <br />BUILDER <br />SIGNATURE w*,ti.-~yc <br /> <br />COMPANyJ!!7'S Ah/i..-l /}tI~ ' I- /t? <br />/T) a <fOIlIq t!UIYit. r' <br />STATE CERT OR REGIST,4 <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 />****************************************************************** <br /> <br />MECHANICAL <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 />