Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 ~/i\ <br />813-780-0020 FAX: 813-780-0021 V 0 <br />DATE RECEIVED <br /> <br />OWNER'S NAME <br /> <br />PHONE CONTACT FOR PEPJ{~P-ERMIT SERVICE <br />, " 1-866-824-7894 <br />( Mil uOA )\ PHONE Toll Free <br />/'f);) <br /> <br />lZaelu,; Otlrl/Jt4 <br /> <br />v <br /> <br />J lfl/q Beryl L~ <br />LEGAL DESCRI PTI ON: LOT (S ) (p &L <br />PARCEL ID # ~ l/ -t2-(o -J./- ooio ~ 0010 ~ - 0 tdJ...1J <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION E PJ~ rail (Jo/~':t,/I <br />hJlfI'f <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />BLOCK <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />ItADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK R oOn, Add,' 110- <br />BUILDING SI ZE I D Lx. I t..f I SQUARE FOOTAGE i4- D <br /> <br />HEIGHT see.-r taM. S <br /> <br />$ <br /> <br />00 <br />3. 0tXJ. <br />. <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br />I 05 u~ f)u)~. <br /> <br />'-7 )" I,.) ~ -?1.1.A-\ 6 <br />.,,. I <br />Jij...): <. <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 />__ BUILDING <br />~ ELECTRICAL <br />pel PLUMBING <br />o MECHANICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATIO <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />D SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />9f-s;THER cNUm,;'uw--- Fn::VJ-16 <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />[~~:~~~;Z~.~~=2~=~=~~m~:'_:..~~~~~~~~~~~~, _~. __: _ __ _ _ ., __ .~'~~~:'.~ ~,~~~~~--~~=~_~7~~~~~~.~~:~~:~~-;:V~ <br /> <br />BUILDER <br /> <br /> <br />COMPANY ~AJ tJlt..,EVC'OIOSfMAliJT IAJ c.. <br />f <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />*~~**~~**:::::::**** ~*;;:*fl1O:;* <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br /> <br />************************************1************************** <br /> <br />PLUMBER <br /> <br />,......- <br /> <br />.COMP~I ~&~~ <br /> <br />STATE CE T OR REGIST # RFC1("') ~? ~ L/ d <br /> <br />/ .- <br /> <br />************* **************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />AI\; <br /> <br />STAT~ CE~T OR REGIST # <br /> <br />********************************************~******************** <br /> <br />OTHER <br /> <br />" <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />