Laserfiche WebLink
<br />, ~ 1'( ~ ,'S <br />"" ~{\l" ") <br />... \\0- r_~\~ 0v <br />v-' {U'J?1 Il", <br /> <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 />.- <br />:3-f-D6 <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br /> <br />3~ ,'?J-' <br /> <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT (S) q BLOCK 8<O~cP SUBDIVISION ere:> /0 <br />PARCEL 10 # O.:2~fc~WoftO-Wfo[f)-~ () /OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH Bu..~ 1& ~ <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />P'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 />o RESTAURANT <br />DESCRIPTION OF WORK . ,~n +e...i-t 0 r <br />BUILDING SIZE /00/ x.. 50~ <br /> <br />& HEALTH DEPARTMENT <br /> <br />~W ld2~ <br /> <br />APPROVAL <br /> <br />S ,; +e... /J I ~ r:+I1 nj~ <br />g/ <br /> <br />HEIGHT <br /> <br />SQUARE FOOTAGE.s-O q gc (t:' <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET~' <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS .// \. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. //'" d.. ,JOL <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. L----.-- <br /> <br />~ILDING <br />l2rELECTRICAL <br />er"PLUMBING <br />P'MECHANICAL <br /> <br />~ <br />$ / GO/OOD <br />, <br /> <br /> <br />~AMP <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />19/0()0t)O <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />TYPE OF CONSTRUCTION:~LOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />.~ i I;?~& <br />'1'- 1 <br />.j\' L(1 ~ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />-"". <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES g-NE) <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />OR REGIST # (t~ /~J;09/'I <br /> <br />ELECTRICIAN ;1 _ tJ t1 .. ~... 1.. ../ COMPANY 01 ~ ~ <br />SIGNATURE .,:J:) ~ ~ - STATE eERT OR REGIST t ESe 13m /6 J'3 <br /> <br /> <br />****************************************************************** <br />, <br /> <br />***************************************************** <br /> <br />PLUMBER ? J. -. ~ <br />SIGNATURE ~' ~. " ~. <br /> <br />MECHANICAL * *~.. * :*~ *: * **J:~*: ==-.. *~~~;~~* 0;;*~~\*~*** <ttt~ <br /> <br />SIGNATURE~~~-__. STATE CERT OR REGIST i~W\ om~tf <br />***************************************************************** <br /> <br />COMPANY'i:::::,~ X W~ ~ <br />STATE CERT OR REGIS'I' # ~. Fe. 1~dl5t:,D.:2.; <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />----.- . <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br />