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 ~I \C\ID~ <br />DATE RECEIVED ~ <br /> <br />PHONE CONTACT FOR PERMITTING ~c:hn l, "e:\~ <br /> <br />OWNER'S NAME <br /> <br />LLn (Jar I--/Jfr/~, GM6 <br />rJ 8'1/ r'(\crcmrrhlilJe c. \ ('~ \e <br />;]q BLOCKffi- <br />~- d5-~\- - r)-u?f1r,) <br /> <br />PHONE 5/3 -gl ~ r a5~~ _ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION Ou..l+viA..v.J <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ~n St'/ UaJ1U~_ ~#<,Lb /I,j- <br />BUILDING SIZE C_p] . Lf X' '-10 SQUARE FO TAGE ~?f7L_ HEIGHT ~t'L <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 />~ILDING <br />~ECTRICAL <br />r:::(;LUMBING <br />~ECHANICAL <br />o GAS ~FING <br /> <br />$ 1~~{o7u <br />(~W AMP <br />- <br /> <br />PERMITS REQUESTED <br /> <br />SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />o Progress Energy ~. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />o~1) <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~BLOCK 0 FRAME <br />FINISHED FLOOR ELEVATIONS \~. ~ <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~ <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />5 <br />aC o16P&9~ <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />cJ{rv f11.n % <br /> <br />^,0!'JJ~ <br /> <br />COMPANY &l1f1011~ <br />STATE CERT OR REGIST # 00/3/.3 .If <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />=KrvJ<u1 <br />( <br /> <br />, \ COMPANY ~+ . <br />tfJJJ/~ STATE CERT OR REGIST # CFc.o'-lJ, 99 f? <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *::iF- * * * * * ~ * * * * * * * * * *,* * <br /> <br />~ .. , COMPANY. ~ 3 wP.fl sa -bY., <br />[II l~ Alt;U€'x:t:b STATE CER1' OR REGISr # C/jCD$;/J 4/0 <br />y <br /> <br />· ~........................ =.. ::~::::. C" ~'Z:;;' .~ <br /> <br />1''LlLu{f jr. D~ STATE CERT OR REGIST # JlGL/ s "0/' <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />SIGNATURE <br />