Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION C".J.i~ .~~{~.,o.; <br />./ <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />~-)\-l..?S- <br /> <br />PHONE CONTACT FOR PERMITTING C~.(n'\ 4~'-~'Z,\ <? <br /> <br />OWNER'S NAME'-' R D , <br />JOB ADDRESS--- -;]7 ~s- 3 <br /> <br />Y'{)c KQ -e. <br />~^1 ' s-Lj' <br /> <br />UJ-e s f- <br /> <br />PHONE ~l3 -~3 ~- &(-{q I <br />2 e ~1.1 '( h d \ "S, f' \q , <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~IV\d-a~\{~ltovc L){ (hA F\CYEV <br /> <br />SQUARE FOOTAGE <br /> <br />+r,V\.\,~J((lVrr fI\~&I.6t'~( &.c <br />:S~ -s-t eu,\. <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />o BUILDING <br /> <br />$1 8. "S 00. 00 <br />, <br /> <br />VALUATION OF <br /> <br />0~ VAl~TT-"::,J <br />'^~ fnr J?w.,J <br />rU~v~N ... <br />TOTAL CONSTRUCTION / /2- i ~ ~ <br />Progress Energy [J W. R,E-;C. <br /> <br />PERMITS REQUESTED <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />_./ ./ <br />j/ ) <br />I NSTAL]'AtN . .~...~ <br /> <br />~ <br /> <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o 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 AREAO YES 0 NO <br /> <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 />SIGNATURE <br /> <br />*** ** *** * * *** * * *** ** *** * *** *** ** *** **** ***** ****** * *** ,. ** ***** ~ ** * ~., V <br /> <br />COMPANY vi- tie. :It) <br />, t q- / <br />STATE CERT OR REGIST # .)~. . <br /> <br />MECHANICAL <br /> <br />***************************************************** <br /> <br /> <br />SIGNATURE <br /> <br />R () b-e 1/ t w C Y' l \A_iVV <br />cn~:,..Q--~ <br />....--" ....-J <br />,----- <br /> <br />/COMPANY f\....h-O\-eUWl ~< {"Sc..^-.-"{C (~,~_~_JJ.e\.J-e \Uf>M"j' <br />CERT OR REGIST #~~ Olf roO<) L <br /> <br />OTHER <br /> <br />(STATE <br />