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 />~-i,-tJ5 <br /> <br />" ry1_HONE CONTACT <br /> <br />Ii d:Af~ C;MUf ~h{~ v,fJ,o <br />OWNER'S NAME Kof> f,.op-c...r+\'c ~ 1.L. <br />JOB ADDRESS '1 '8~C\ &~L.c... alvei. "Z.<.~h,,("h;1I5 <br />LEGAL DESCRIPTION: LOT (S) $ce. ...tl-..c.L-( BLOCK <br /> <br />FOR PERMITTING <br /> <br />9V/.. f../fJf - D~ 70 <br /> <br />PHONE <br /> <br />pt- .'J "3 S'" l{ C) <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # '3"1- ~S'- ').1..o,S'o- oo~.. 00/0 <br /> <br />(ORTATN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />~ <br /> <br />C ADDITION <br />C MOVE <br /> <br />CALTERATION <br />C DEMOLISH <br /> <br />C REPAIR <br /> <br />I9-1NSTALL <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />ISJ.c'OMMERC IAL <br /> <br />CMULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />0# OF UNITS <br />C SWIMMING POOL <br /> <br />[] MOBILE HOME <br />[] OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ~...*.,t.<- 5',./..c.. ~,.,C} -r:p VJ4tL,; e,J (5:~ ,q) <br /> <br />~' ~ D ' _ / q f'4c.,-,<-:: '-1).'1 ~o <br />BUILDING SIZE, f Q'Q ~ SQUARE FOOTAGE ' <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />-\-0 .f-\..c.. ~. ~ -I- <./~ . <br />IS'I <br />HEIGHT <br /> <br />':>: t) '" <br />o B)H"LDING <br /> <br />~TRICAL <br /> <br />PERMITS REQUESTED <br /> <br />'2')0 gf;)t. <br />~. <br /> <br />$ <br /> <br />~'1,).. . s t <br />:;J.'7f <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[] Progress Energy C <br /> <br />W.R.E.C. <br /> <br />C PLUMBING <br />[] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />C GAS <br /> <br />C ROOFING <br /> <br />o SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] 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 AREAC YES C NO <br /> <br />t:, ~/' l ;:, t :- ... {.t':)< ~: ":" ~ , I ~ ~ " ;,,~ <br />,,' '1'1 ~!!<"\:. ,., " 1 . '" <11 . . ~.".. <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />f) &u.. 0 <br /> <br />r.) g_____ <br /> <br />COMPANY 11'/11& h.....,.. S) S~ .~,J '- <br />. <br /> <br />ELECTRICIAN <br /> <br />STATE CERT OR REGIST # <br /> <br />E$ .ODDe> ~q I <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 />S i~,..1 <br /> <br />SIGNATURE <br /> <br />O~ I/J <br /> <br />$~ <br /> <br />COMPANY ANe.L.t-.,.. $: ~ I ~N C- <br />STATE CERT OR REGIST # E s -~~~ f <br />