Laserfiche WebLink
<br />~G <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhil1s, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED 'I-~-I)I/ <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME <br /> <br /> <br />JOB ADDRESS <br /> <br />PHONE ~ 7 - 7Cf9Z- <br />Ll(r h <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: DdNEw CONSTRUCTION <br /> <br />PARCEL ID # 34--~S-~1-0CXJ0-D0300-00<gO (OBTAIN FROM PROPERTY TAX NOTICEI <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />OCOMMERCIAL <br /> <br />~LTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ~\t1 A~r~(\-\- U(),+ * 3 <br />BUILDING SIZE' 41. 33 X I~ <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />2..1 <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 />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />J BUILDING <br />J ELECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~FLORIDA POWER 0 <br /> <br />W.R.E.C. . <br /> <br />o PLUMBING <br />rJ MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION: J BLOCK <br /> <br />o OTHER <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 0 NO <br /> <br /> <br />BUILOER ~ <br />SIGNATURE .~~.~~ <br /> <br /> <br />QL <br /> <br />COMPANY 5o-.nd~ 1)eveJOPm.cn-t en. <br />STATE CERT OR REGIST # C-~~ - 0' O~ 2.-3 <br />CITY PROCESSING # <br /> <br />ELECTRICI <br /> <br /> <br />*********************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY h-r'2:;-t c-"\QSS ~ ue-.-t-n'c... <br />STATE CERT OR REGIST # 000(;),5'70 <br />CITY PROCESSING # <br /> <br />PLUMBER COMPANY ~,.,~,--s. ~\\,~~~~ ~~\~~'" <br />~ "~~_ \/ STATE CERT OR REGIST i '- ","0, \lJ~5'<:,~~ : <br />SIGNATURE~~ ~~~~ '--- CITY PROCESSING! <br /> <br /> <br />~........ .............................. <br /> <br />********************************************* <br /> <br />MECHANICAL <br />SIGNATURE ~ ~ ,tu rtn~u,o <br />f <br /> <br />COM PAN <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br /> <br />OTHER <br /> <br />***************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />