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 <br /> <br /> <br />PHONE CONTACT FOR PERMI <br /> <br /> <br />OWNER'S NAM~\JIJ ~/ Ca.^J; L~wrP/l.CIL <br />JOB ADDRESS . (0319 5; Jver OCtk 5 Dill vtf <br /> <br />PHONE '-tOY- 379- Sbo 2 <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />o 3 - 2fo - 21 - 0 /2J4 - ooOCD ~O!JJh? FROM <br /> <br />PARCEL ID # <br /> <br />PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI - FAMIL Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />~IMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK {( t.. l' A I AJ I tJ () LJ ALL -- -'-'-----------., <br /> <br />BUILDING SIZE SQUARE FOOTAGE //// HEIGHT \ <br />/' -\ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING,~~NS & (1) SET~ ERG F~ <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) ~ET ENERGY FORMS. L.NUtL <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQU ED. ~ .ZI"'f'-) <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CON TRUCTI9N]1" J ,;/tl . _ :0 /1-. <br /> <br />I Jr~' J ~), ~ <br />PERMITS REQ STED ~ <br />750 ~ VALUATION OF T <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br /> <br />o BUILDING <br /> <br />$ <br /> <br />o <br /> <br />o STEEL <br /> <br />[;fL 1b l NcG-4X?- <br />INSTALLATIO~ C::XU. ~lNr4 (.... <br />f~~I <br />Illq'al ar <br /> <br />o PLUMBING <br /> <br />o MECHANICAL $ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <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 /> <br />COMPANY om/7 OW AJ o.:>l.,.) ~ C. <br />STATE CERT OR REGIST # Cfc 0 Sf::, ~ G:,( <br /> <br />******************************************************** <br /> <br />ELECTRIC <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 />