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 />PHONE CONTACT FOR PERMITTING <br /> <br />C)..fJ , ,1. (\ ~ <br />OWNER'S NAME \ J '?{~~^^.AI'-/ d1' YV\C~ <br />JOB ADDRESS ~ 9 LjL(C} - ~~ .'IJU,JJ-- <br /> <br />PHONE <br /> <br />9'1 j I) / ~-. (." 6 0 1 <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: [)NEW CONSTRUCTION <br /> <br />[)ADDITION <br /> <br />[)ALTERATION <br /> <br />[) REPAIR <br /> <br />[) INSTALL <br /> <br />[) SIGN <br /> <br />[)MOVE <br /> <br />[) DEMOLISH <br /> <br />PROPOSED USE: [)SGL FAMILY DWELLING <br />[) COMMERCIAL <br /> <br />[)MULTI-FAMILY <br />[) INDUSTRIAL <br /> <br />[)# OF UNITS <br />[) SWIMMING POOL <br /> <br />[) MOBILE HOME <br />[) OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~ " <br />,.j.j\..J\..AL~'~~ <br /> <br />':~,....~ <br />6 <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 /> <br />[) BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[) ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[) Progress Energy [) <br /> <br />W.R.E.C. <br /> <br />[) PLUMBING <br />[) MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[) GAS <br /> <br />[) ROOFING <br /> <br />[) SPECIALTY <br /> <br />[) OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />[) 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 /> <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 />SIGNATURE \, <J (~~~~~ ;f. VY\ <: AJj~ <br /> <br />COMPANY <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 />