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 />I--~ -0.5- <br /> <br />PHONE CONTACT FOR PERMITTING 1$.v'l~-5'tJtF I <br /> <br />OWNER'S NAME 8C Land .:z-n(/t'TS~/n~nfis X/'7C- <br />JOB ADDRESS L.or S"t) B ~.c);re~r-. 4Y'd-7/ fl9 <br />/ <br />I . <br />7 SUBDIVISIONdJoL7r~ J;/;r~Addt1-mH <br /> <br />PHONE (8/3) 9~8'-SOe? / <br /> <br />LEGAL DESCRIPTION: LOT(S) ~ <br />PARCEL ID # /~-dc,-~/-Ot)//)-Ot)7t){} -OtJ5t) <br /> <br />BLOCK <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br />D SIGN <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />DCOMMERCIAL <br /> <br />D ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />D MOVE 0 DEMOLISH <br />~LTI-FAMILY D# OF UNITS <br /> <br />D INDUSTRIAL <br /> <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK f)//PLF;r <br />BUILDING SIZE ;:;~hU' <br /> <br />SQUARE FOOTAGE ;).OC) / <br /> <br />HEIGHT <br /> <br />IS' <br /> <br />D BUILDING <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FO~----- <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. __~~- / f ) <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTIo/. cd) L f..J iJ 6 / <br /> <br /> <br />PERMITS REQUESTED ( .1 (~. / <br />._~-__c~ <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE "-' FLORIDA POWER 0 W . R. E . c. <br />h%- S~f' o~ <br />F) .J-42- <br /> <br />$ <br /> <br />C; 6L()tJO <br />30() <br /> <br />D ELECTRICAL <br /> <br />D PLUMBING <br />b MECHANICAL <br /> <br />$ <br /> <br />S""1%)t1 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK pRAME <br />1\ AlIA <br />FINISHED FLOOR ELEVATIONS ? /'7DV'VF ~d. <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~O <br /> <br />BUILDER <br /> <br />P<?N~q~~'I~~E9~~9N <br />COMPANY ALJU'tY/?4C/ITB/:. C't1A/ :tIVc. <br /> <br /> <br />STATE CERT OR REGIST # C.($C 0(#0 ~'1 'f <br /> <br />SIGNATURE <br /> <br />************************************************* <br /> <br /> <br />COMPANY 7f(/~rC~:7~ &c--t{~ <br />, <br /> <br />STATE CERT OR REGIST # ,E: C - Uc:t)...,.<'5;C) <br /> <br />************************************************** <br /> <br />PLUMBER <br /> <br /> <br />COMPANYuI6/f ()41VY}-tJJ fJ/V/Y?6;/f1/J .,TI?C. <br />/ / I ;(.. <br />STATE CERT OR REGIST # t";J::C it J 631.3 <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />************************************************** <br />COMPANY ~N.Ul '.5 Hr~ 1- CGo/",,,'f <br /> <br />STATE CERT OR REGIST # CAe 11f gC?~ <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />'} ;. <br /> <br />STATE CERT OR REGIST # <br />