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 RECEIVED <br /> <br />1{J-IC:;-tJ Y <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />J/g/)N' /J Af~lLJ 4!u/il1 T 4 <br />S rJ..j 7 t:2ti. / Alvd.. <br /> <br />/J-RR IJI e J P~ONE <br />. "LWJu4 t!or/. <br /> <br />JOB ADDRESS <br /> <br />LEGll..L DESCRIPTION: LOT (S) / I- ~ BLOCK / ~~ <br />PARCEL ID # /l-J./c-&;-():)/O- /~MJ(}- tXJ/ () <br /> <br />SUBDIVISION TitUJ/J 0-/' ?-'fl4r'i lit <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />OSIGN <br /> <br />~ ADDITION <br />o MOVE <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />)q' COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />PeLil;' CO~r a~r <br />" <br />~,) )< 6l oL <br /> <br />..P Jt /~ J/;' q t:bAL R ;P <br />SSO lj; <br />SQUARE FOOTAGE <br /> <br />02-5-1,,( cJ el- I <br /> <br />DESCRIPTION OF WORK <br /> <br />HEIGHT <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 />&~) SET, ENERGY <br />FO S. <br />.- \;:) <br />-'(07, ., <br /> <br />FORMS. <br /> <br />9(' BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />1J6 <br />~ J & wI. <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <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 />\ <br /> <br />fi OTHER G.. UL/X_ (1)0/'(1 <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />Gr/~&,,- Jc~!L <br /> <br />COMPANY .J"v/).{/-,<-~ A11.tUK./ /lOA I A... ~ <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNA.TURE <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 />