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 RECE lVED <br /> <br />IIfllc7 <br /> <br />I <br /> <br />PHONE CONTACT <br /> <br />FOR PERMITTING <br />PASCO PERMIT SERVICE <br />PHONE 11-866-824-7894 <br />Toll Fr~e <br /> <br />PARCEL ID # <br /> <br />. <br /> <br />J (lJ/Jes II 0 11/I}MMrllJ <br />J S- J(P ,!J~ n (/0/ .J L.llI) e <br /> <br />r}J9 <br />~t.J.-J-& -~/- ()o7()- OOO()()- JJ90 <br /> <br />BLOCK <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION C/7Um/c/ /l;JtJIe- <br />"- j/ N,so/'I ,/ ~\ft 5" <br />10BTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />oALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />J <br />/tL XJd-- LtL/JCL/ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />3ft/P <br /> <br />HEIGHT <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br />12u.~0 1~)C. <br />Tf;IJ. ~~ li-LiA. <br />SZ. ~ ?lJNJ6, <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 />rA BUILDING <br />r5f ELECTRICAL <br />C/- PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />/(), D(}O. Ov <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <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 AREAo YES ~ NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />hOlA.P- O(OjJ}J" <br /> <br />SIGNATUR~ ,",,-A~Q~,~~ STATE CERT OR REGIST f <br /> <br /> <br />- ******************* ********************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />~ /U- /JI,().u r <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br /> <br />hOM ()t1JU r <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />********************** <br /> <br />***************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />