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 />L-( ~It ~ OS <br /> <br />PHONE CONTACT FOR <br /> <br />PERMITTING Jt <br />( <br />PHONE C~/.5)9~-SLJ3/ <br /> <br />OWNER'S NAME-Al:IIJ"N' 1!,t51/n;-~[~Rl/c7Z'tJA/ .:z;t/c.. <br />JOB ADDRESS 5028 I g 1h S;tree+ <br />23 BLOCK ;)10'00 SUBDIVISION <br />PARCEL ID # / /-2(;,":;"1-0010-21 ~()D-02.30 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />o SIGN <br />USE:~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />oALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED <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 />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK &'E~/ .RFS.I:/JIJ'NCE <br /> <br />BUILDING SIZE 39')(0/3' ' SQUARE FOOTAGE/i"72 TOTAL HEIGHT /6,' <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1 SE~~ <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. . 0 -1;d1 <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. S-~o""jTlk <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. N~ r f\?jJliCvV)\.ri... , <br /> <br />-(J lIb,:> I~IL <br /> <br />(\J pq;.o ~ SJr"" TJj) <br /> <br />1-:t~~ <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ r;~ooo.~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />/5"' () <br /> <br />AMP SERVICE <br /> <br />~rogress Energy <br /> <br />.\ <br />,.' ()' <br /> <br />OF MECHANCIAL INSTALLA~N -1i ~ <br />------~ <br /> <br />o <br /> <br />W.R.E...C. <br />.,'" <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ 20.o0..~ VALUATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK ~ FRAME <br />FINISHED FLOOR ELEVATIONS ~"AA~~~ ~. <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES <br /> <br />~O <br /> <br /> <br />BUILDER <br /> <br />COMPAN~d/ArN/ t"21~.?'rp"chbH ...f>nc <br /> <br />STATE CERT OR REGIST # Q:$C tJGOc;.9'f <br /> <br />****************************************************************** <br /> <br />COMPANY h;~T C(G.~5 Cld~c..- <br />, <br /> <br />ELECTRIC <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # ~-c9<1c:J~,;::t:;> <br /> <br />****************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />Co/61 J~ 1/15- <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />******************************************************* <br />COMPANY ]:;"/'lq'S ~ t-Cark'W <br /> <br />STATE CERT OR REGIST # ~l 8'/3' 7' <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />