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 />5-5-;)5 <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />~WNER'S NAME J;ut5 t,la"v//~ PHONE IFf'!;) 7H~~fd9 <br />hOB ADDRESS 5'?CtfQ II!) wlM-dCA.- '-W yo lP{) ~ <\ h. \ \S <br /> <br />LEGAL DESCRIPTION: LOT (S) .:r>J ""-SC; BLOCK SUBDIVISION <br />c?5?? U <br />/~~,~LI[}~ /~ - ;2 & - ;'11- 0 It b - c/O 00 D -- (OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ONEW 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 />/~ESCRIPTION OF WORK <br /> <br />& HEALTH DEPARTMENT APPROVAL <br />C)'P <"S+OC tQci~ .Q:>nce_ <br />SQUARE FOOTAGE q (O~. ) <br />/ . . <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS ~ ~~~~~AN~ &(1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. q\ \ <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ,/" ) <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. // I-( /1 1) __/ <br /> <br /> <br />/__ PERMITS REQUESTED (Y;// <br />(; Ii. 00 ~ _/ <br />i$, / (00- VALUATION OF TOTAL CONSTRUCTION -- <br /> <br />o RESTAURANT <br />V\. )-\- <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />(0 ~ <br /> <br />XBUILDING <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 /> <br />COMPAN+ <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 />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />