Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECE IVED S 1-tJs <br />PLANS REVIEW FEE _M. <br /> <br />OWNER'S NAME\~~~\ \-D'(\.C-~ ~~O PHONE~\~-I~-~ <br />JOB ADDRESS 3 '7 ~ qc; ~\ \ \j ~ \ ~ c:0~ <br />LEGAL DESCRIPTION: LOT (S) BLOCK SUBDIVISION'~{~\ \\.d ~"C ~ <br />PARCEL ID It ~'-\ -C;:>~-~\ - C'::CJ\~- ~~<<.."'J..J-D~~IOBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: ~W CONSTRUCTION ~DITION OALTERATION 0 REPAIR V'fNSTALL <br /> <br />OSIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />~~\\\.)rn <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />1 <br />SQUARE FOOTAGE \~~ <br /> <br />(.\. <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS &. (2) SETS OF BUILDING PLANS <br />COMMERCIAL: .ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />4ILDING <br />~LECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />, <br /> <br />~ ?;<:::::\~ ~ ~ VALUATION OF TOTAL CONSTRUCTION <br />, <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. . .(.,~r <br />ez-IC ,~~ I ~ <br />? )_ :::>~ l216f . <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. ~\\~~ <br /> <br />o PLUMB I NG <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o 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 AREAO YES 0 NO <br /> <br />,/ <br /> <br />BUILDER <br />SIGNATU~L' <br /> <br />d'd.d', .,. d'" d.;:U., !,,<d ......... ... <br />~. . C~~PAN~~~~~~~. <br />t. STATE CERT OR REGIST It ~\~ <br />I.A.J....~ ~ __ CITY PROCESSING It ~j~ <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN ." . . ~ ~~ (""'>,... ':~ <br />SIGNATU~~ ~ ~~~ ~.~ <br /> <br />COMPANY ~"C "'t - \~ ~ ~ "- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # \ D \ <br /> <br />****************************************************************** <br />'-. <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />