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 />c;0ilos <br /> <br />PHONE CONTACT FOR PERMITTING ?!?-~ - cJ Y 7 &' <br /> <br />JOB ADDRESS <br /> <br />j!)R, <br />11/.. ~tI <br />67~ 9 <br /> <br />"/'/'0 tY 4 eft ~ f e 4. , <br />GJ// ~/I// <br /> <br />PHONE <br />:z e j.) L ~/C /, . '/ +. r L <br /> <br />I / ' <br /> <br />OWNER'S NAME <br /> <br />J .1-.r~51 -L <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />J - Q) /; -~ I ~ {J d / t7 - ~ ~tJ tit!! - eft <!?.l 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION o ADDITION MALTERATION o REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI - FAMIL Y 0# OF UNITS o MOBILE HOME <br /> R!.COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />Lv .; ~ t . '11 /t:-- It [J V'7 d dfJ /. 1 )1. \ r; <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 CONSTRUCTION. <br /> <br /> PERMITS REQUESTED <br />o BUILDING $ 7J;~J-f VALUATION OF TOTAL CONSTRUCTION <br />o ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />o PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 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 AREAD YES 0 NO <br /> <br /> <br />BUILDER ~ <br />SIGNATURE Y' ~ <br />~ - <br /> <br />COMPANY rr~ ~ /-1 ~,f' ~ . >'-~ C /tC.I C 7- <br /> <br />STATE CERT OR REGIST # else-- t!J .t?\J-/ )> <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY r. -f sf C' /"" s. ~ E I <br />I I <br /> <br />STATE CERT OR REGIST # ec.. 00 0 .2 :) 7( j <br /> <br />ELECTRICI <br /> <br />w********************************************************* <br /> <br />~ <br />PLUMBER ...-0 /. I ... <br /> <br />SIGNATUREL .,' - ~!d~ <br /> <br />COMPANY C:lf;t.r f 1S,1/t/2 Ii U /11b/'I/J& <br />STATE CERT ~R REGIST # if( F 00 Y-/~C; fl <br /> <br />SIGNATURE <br /> <br />************************************************~*******~***~*1t* <br />COMPANY )<1)'\ s~ CUvVl=1- <br /> <br />~ ~L---- STATE CERT OR REGIST # / ./i 2, <br /> <br />MECHANICAL <br /> <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />