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 IVED <br /> <br />2/'1/05 <br /> <br />~ . n C\ T"" PHO~ CONTACT FOR PERMITTING <br />~~\1\oa>cR~~~cdL~ . <br />OWNER'S NAME {I'" lJ l"1\..~j f~~ PHONE P!3~ 7R.:J-,O? ~5 <br />JOB ADDRESS .~ '\-_ ~~ R&- d h\ ~ tlt~ b. <br /> <br />LEGAL DESCRIPTION: LOT (S) c!J-'7>3"O BLOCK ~~ SUBDIVISION '(5O/0 . <br />PARCEL 10 # 0 ~ -.::I...fo - dJ -[)OlO "'~0CX9- Do~ @)BTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI - FAMIL Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />-r:r;HER <br />Sf9'vL <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT <br /> <br />'-S~ <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />- <br /> <br />""~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 CONSTRUC <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF <br /> <br />o PLUMBING <br />o MECHANICAL $ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />-0 <br />Sl.) I~J~ <br />. ~ ? ) -. '\ ~ J2-\$( <br />~R ,S iCjY\. i f '1'/L/L~ <br />IN FLOOD ZONE AREAD YES 0 NO <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br />_i:~i'il1!iIFrl~r------- .-- --.. - -_.- _.- . ...._,_.~:~T;.-,~~-T\.;,7~~f7:r:";::~]fil:i"~'i~~ <br />~~~;;.;:t~:Th1~L___----_. _ ._~....__._' ._~ _.JL:~.::j!i~J~'f 'lr~)C:::J~';I:'h" : <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <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 /> <br />OTHER~ <br />SIGNATO E r . <br /> <br />STATE CERT OR REGIST # <br />