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 />//-2-01 <br /> <br />. <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME ~ n Q d. P-J..~ PHONE ~~. lol.o'd'l <br />JOB ADDRESs5loQ.D ~~ ~~. ZQ{h~LOM j~JUL '3354Q <br /> <br />. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # \ ~ 4 ~lo~ .Q. f ~ CC'.L:6- ax:oo - 01 dO <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br />D SIGN <br />PROPOSED USE: GrSGL FAMILY DWELLING <br />(J COMMERCIAL <br /> <br />(J ADDITION <br />D MOVE <br /> <br />(JALTERATION <br />D DEMOLISH <br /> <br />(J REPAIR <br /> <br />[!(INSTALL <br /> <br />(JMULTI-FAMILY <br />(J INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />(J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH DE~., APPROVAL <br /> <br />...Ell Q.., 0_h~L <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (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. <br /> <br />PERMITS REQUESTED <br /> <br />(J BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />(J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />(J FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />(J PLUMBING <br />s'MECHANICAL <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />( <br /> <br /> <br />$.3.91(0. CO <br /> <br />VALUATION OF MECHANCIAL INSTALLA~,ION <br /> <br />(J GAS <br /> <br />D ROOFING <br /> <br />(J SPECIALTY <br /> <br />(J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />c....o.... N'rRAJ.. .'CTORISECTIO. N <br />. .... ,",,' .".... .".'..,>....... "'." .....,.. '. . <br />,.' .' <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <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 />MECHANICAL <br />SIGNATURE r::~- <br /> <br />**********************************~;~;~~*C;:~~*1S:l~ <br /> <br /> <br /> <br />{~U-o- / STATE CERT OR REGIST i<-rv.1Qj qq ~ I <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />