Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION . <br />BUILDING DEPARTMENT 5335 8's St, Zephyrhills, FL 33542 ~ . , _ <br />813-780-0020 FAX: 813-780-0021 0 ) <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME Crand f!()YiZC>rJ5 <br />JOB ADDRESSJI 2.:;2 NeuklJIYJ Aye.. <br /> <br />PHONE <br /> <br />Lof <br /> <br />2/0 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: DNEW CONSTRUCTION <br />DSIGN <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />DADDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <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 />~BILE HOME <br />[] OTHER <br /> <br />c:J RESTAURANT & <br />DESCRIPTION OF WORK mOb/It hdJ??t <br />)7 x 50 <br /> <br />HEALTH DEPARTMENT APPROVAL <br /> <br />s-ef - CAf) <br /> <br />, <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />D BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o 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 />SIGNATURElj/,...~ /3.. '&/"" ~_<-,L <br /> <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN <br />SIGNATURE V/,- ~.:;;z ~ ~~~ <br />7' <br /> <br />COMPANY A cL <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br />SIGNATURE V7-- - B~7:;~1~ <br /> <br />COMPANY /3u.H(YpeJd <br /> <br />. <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY A c. e. <br /> <br />SIGNATURE <br /> <br />~7-- - /5: ~ A::~ STATE CERT OR REGIST # <br />- /' <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />