Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8'l'11 St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br />PASCD Pc: Mll SE:Rlfl< <br />PHONE CONTACT FOR PERMITTING 1-'iSiC(rg).L{-7gQt.j <br /> <br /> <br />OWNER'S NAME t:/ Vu cI J /1~r <br />JOB ADDRESS S' (, rti> /h. e CO" C tJUA:!- <br />../ <br />LEGAL DESCRIPTION: LOT(S) IJ~ BLOCK <br />PARCEL 10 # /ol-tJ../p "'~/- 03/0 -()J()()() - ()9M-~ <br /> <br />PHONE <br /> <br />SUBDIVISION~~f cc,S"4.:6", #- OL <br /> <br />(ORTAIN FROM PROPF.RTY TAX NOTTeR) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />OSIGN <br /> <br />tJ ADDITION <br />o MOVE <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE:OSGL FAMILY DWELLING <br />o 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 />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />rS (! H..eA <br />/'1 j( old <br /> <br />mom <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />..j~ r; <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 />& (1) SET ENERGY FORMS. <br /> <br />F7' <br />/0'; '" iP <br /> <br />f4>(; <br />3 t 'l. t_ jf..JIjO~N <br /> <br />/~1J, l'L <br /> <br />PERMITS REQUESTED <br /> <br />~ BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />1: em, (JI <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W,R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D OTHER <br /> <br />DGAS <br /> <br />o ROOFING D SPECIALTY <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 AREAD YES 0 NO <br /> <br />BUILDER <br /> <br /> <br />~~~~-i{:SitpT:t9N <br />COMPANY /~ /f;)j/clj <br /> <br />CdJJl rtJ. t.f /0/1 <br /> <br />SIGNATURE <br /> <br />') <br />:; <br /> <br />STATE CERT OR REGIST # <br /> <br />*************************************************** <br /> <br />ELECTRICIAN <br /> <br />" <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 />