Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8D St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE lVED <br /> <br />I~ /;~;f;v <br />I <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER' 5 NAME <br /> <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT (5) BLOCK UBDIVISION <br />PARCEL ID II '2.J / -- ::2 f: -;) 1- 00 j 0 - () I 700- (j{j&') FROM PROPF.RTY TAX NOTICE I <br /> <br />WbRK PROPSED: ~W CONSTRUCTION <br />OSIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE:OSGL FAMILY DWELLING <br />~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 />~HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK - /f~ <br />BUILDING SIZE 23-il/x 6g- g '1_ SQUARE FOOTAGE 1& 30 <br /> <br />Jit BUILDING <br />tR ELECTRICAL <br /> <br />$ 3~ ~OCJ <br />100 <br /> <br />HEIGHT ~ /A <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br />1i\J ,~L (lfifPTYJU/VW., <br />fA;.:. V) ~tN i7(JfJAcJy+-L <br />PERMITS REQUESTED ~ I J1.i;f) prt10""_ <br />~ I ) )~(Y\1C1~ Co 1 <br />VALUATION OF TOTAL CONSTRUCTION JJ('~vt.)U \ T <br /> <br />SERVICE II( FLORIDA POWER 0 W.R.E.C. <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 />AMP <br /> <br />~PLUMBING <br />~MECHANICAL $ <br />o GAS 0 ROOFING <br /> <br />5/ 2t!J ~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />Jk-') 1 L{1 <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~BLOCK 0 FRAME <br />FINISHED FLOOR ELEVATIONS /?~ () <br /> <br />~ STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />SIGNATURE <br />--=== <br /> <br /> <br />CO~T()JtkSECTION <br />t,_ ,'" t.; '.... J <br /> <br /> <br />BUILDER <br /> <br />COMPANY: <br />STATE CERT OR REGIST # Cl3c -OJ 0 9':l3 <br />. <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br /> <br /> <br />*************************************~**************************** <br /> <br />ELECTRICIAN <br /> <br />STATE CERT OR REGIST # <br /> <br />****************** <br /> <br />**************************************:*******.. ~ <br /> <br /> <br />.. COMPAN:J\O/YI.~ (A~~~ <br />STATE CERT OR REGIST # c;Fc } 1-) ~5"n ()2 <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />t'>~ <br /> <br />~ <br /> <br />.. .iL" ........*~******************... ************ <br />NBCBARIa.L ! L Ca<PANY <br /> <br />SIGNA'l'URE . ... A vtdt:J . (' : STATE CERT OR REGIST # <br /> <br /> <br />***************************************************************** <br />, <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />. . <br /> <br />.( <br />