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'?~ <br />DATE RECE IVED - {}. <br />John U\Je\~ <br />PHONE CONTACT FOR PERMITTING ~\3- g l~-aS'B't <br /> <br /> <br />SUBDIVISION W.J.-fllUJ..,J <br /> <br />OWNER'S NAME <br /> <br />~()ar <br /> <br />PHONE ~] .JW2)'!3 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I ~ #"3)'.- d5: - c3 / - <br /> <br />/OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <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 />BUILDING SIZE <br /> <br />D <br />ujoS& <br />YO <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />(l.J:7b)U~~ 0L}; ).(U< /lJ- <br />SQUARE FO TAGE 6)6Y 4 <br /> <br />HEIGHT ~ <br /> <br />DESCRIPTION OF WORK <br /> <br />Lv5x <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 />~UILDING <br /> <br /> <br />~LECTRICAL <br /> <br />~PLUMBING <br /> <br />~MECHANICAL $ ~~ VALUATION OF MECHANCIAL INSTALLATION <br /> <br /> <br />o GAS )Q ROOFING 0 SPECIALTY 0 OTHER <br /> <br /> <br />TYPE OF CONSTRUCTION: g'BLOCK 0 FRAME <br /> <br /> <br />FINISHED FLOOR ELEVATIONS JSd <br /> <br />$-.-J S'1.9du <br />dOD <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy )1. <br /> <br />W.R.E.C. <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />ko <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />5 <br />CAe 01&&9~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />k <br /> <br />;j~ <br /> <br />COMPANY &!I()O/l Y;JL <br />STATE CERT OR REGIST # 00/3/31- <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ml <br /> <br />tOLV~ <br /> <br />COMPANY ~'KL-+ <br />STATE CERT OR REGIST # CFC"oL/J. 99 f <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />******************************************~*****~************ <br /> <br />~ ' COMPANY. L'( 'p/liA' p~ <br />. 41){ t-f)~ STATE CERT OR REGIST # CACLJ5/? 4/0 <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />* **** ;;*** * *** ** * ** * *******' **~~~::::*(i **&;;'Z;; ~**~ <br />/f~ffi- ~t'tL1flJ STATE CERT OR REGIST # I1C.l-l ~- () /3 <br />(/ <br /> <br />OTHER <br />