Laserfiche WebLink
<br />OWNER'S NAME <br /> <br />-=S~Me~ <br />31'3~7 <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 DATE RECEIVED 5 '1,_~9..1.? <br /> <br />/p~~;;" CONTACT F(J-'UER,;;;;;;;r~l iti - ~?' <br />'--= "'=--=------- C - c--- --' ::;;:::,-~ ~ <br />l WeL~-)-{ PHONE{J/~) (/i5-Cfq~? <br />qtl/l {}vilE 'Zt'jJnYh4,jIS. j~,I- 33f~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRI PT ION: LOT ( S) 7&)</, ~ '0 <br />/). -"0>(; ,- a/- e>3t:'o " nex;JDO- <br />;DrpJ) Pltt'-cY' <br />WORK PROPSED: QlNEw CONSTRdcTION <br /> <br />SUBDIVISION <br />O(~B~~N FROM PROPERTY TAX NOTICE) <br /> <br />BLOCK <br /> <br />PARCEL 10 # <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE ~EMOLISH /),';6. err ~() !-'''''- t:R/~ <br />C ~(ClC.e... <br />DMULTI-FAMILY 0# OF UNITS 0 MOBILE HOME <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />D RESTAURANT <br /> <br />DESCRIPTWN OF WORK A-~''l6Y\ to <br />~ flcfM o-F' ~ l ve..'V Cf.1- <br />BUILDING SIZE . <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />-0Qi5f-;II7- P"7~o 4" ~ e'pouf !4p/~ <br /> <br />" It. f) P ~i -\-c:> ett.l "1$ 01.1 '" \,.(;~r <br />SQUARE FOOTAGE '3<;0 HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (I) 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 <br />FO . <br />'- <br /> <br />, ~). ~~ <br /> <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />L-.3Qo,oo <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <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 /> <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 <br /> <br />o NO <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />/ <br />/ <br /> <br />SIGNATURE <br /> <br />STATE CERT <br /> <br /> <br />***************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT <br /> <br />************************************************ ***************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT <br /> <br />******************************************** ********************* <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br /> <br />T OR REGIST # <br /> <br />SIGNATURE <br /> <br />**************************************** ************************ <br /> <br /> <br />OTHER~../IQ ~ozt.PL.,. P?#5QJIrz,- COMPANY ~-ri'/Io (~~ 4 /I14f~ k, <br />SIGNAT~"- ~.I~' STATE CERT OR REGIST #L-H/lls #- <br />p/J ~CV"1t-- ()(Yt 7 77 <br />