Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING <br /> <br />DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 .} <br />813-780-0020 FAX: 813-780-0021 5 ,q IIiC <br />DATE RECE IVED & f~ <br />John L( \l'L Y <br />PHONE CONTACT FOR PERMITTING <br />D134 I~' dS"3; <br />PHONE J'J ~cs~ ;~~1/3 <br /> <br />Lvi (Jar Y-f;fU~, LM6 <br />)cno S4. <br />'" <br />LEGAL DESCRIPTION: ~OT (S) I ;){cJ BLOCK-f?5-- <br /> <br />PARCEL 10 # ~-CJS - 2-1 - tp - (2lo( ) <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />lttlft; <br /> <br />SUBDIVISION Ou..l.f--viu-J <br /> <br />/OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~ NEW CONSTRUCTION o ADDITION OALTERATION [J REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: CiilSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNn'S o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />BUILDING SIZE <br /> <br />o <br />Ujf) S& <br />~)< z,cg.\> <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />\ JauXl/4, wJ/ ~-t 10 ~J- <br />SQUARE FO~AGE ~~ <br /> <br />HEIGHT ~ <br /> <br />DESCRIPTION OF WORK <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 />$ <br /> <br />J~(P 1/2-D <br />Z~\D <br />_ U AMP SERVICE <br /> <br />PERMITS REQUESTED <br /> <br />~UILDING <br /> <br />,%- ELECTRICAL <br /> <br />)a=PLUMBING <br /> <br />pt::MECHANICAL $ ~ <br /> <br /> <br />o GAS ~OOFING 0 SPECIALTY <br /> <br /> <br />TYPE OF CONSTRUCTION: ~BLOCK <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o <br /> <br />Progress Energy ~ <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />.W <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />~O <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />:5 <br />CAe tJ1~&9j <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN~ <br />SIGNATURE <br /> <br />J_D~ <br /> <br />COMPANY 81 fl){]n:..~ <br />STATE CERT OR REGIST # 00/3/3 f- <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />tu:f)tl <br /> <br />dJtL;tHJ <br /> <br />COMPANY ~'K.JL..+ <br />STATE CERT OR REGIST # CFGOL/J. 9C;? <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />********************************************7r*****.*f************* <br /> <br />i/'. ') COMPANY .1[. Q ~TZ/li21 A1 JO .~ <br />jL1J1l Alt/ 1~ STATE CERT OR REGI~:T # Ci4-(.L)sO 410 <br /> <br />***** *;;** *** *' *~***** *** *******::~::~: *(i* *~'bz~**~ <br /> <br />7\ t ()t IJ)~ STATE CERT OR REGIST # I1c./-I ~- 0/3 <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br />