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 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PARCEL ID # <br /> <br />Lvi flar Y-brus, LM6 <br />We_e,hawgf'Jl D(l~ <br />fL} <br />_~5 -.+~ ....~l ..6L;l.O-Ct{:t){) 4(')0-J(J <br /> <br />PHONE 8/3 - rgg2 - J-j&63 jl3 <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS-.:t 5 4 q <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />- <br /> <br />SUBDIVISION W..l+lIUiJ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: CiOSGL 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 />I L1-. I <br />BUILDING SIZE --=:I:..U <br /> <br />D <br />UI.II S{; <br />K fo6'..2 II <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />Ut711U~, r:LJ/;~fUJ- <br /> <br />SQUARE FO TAGE ..;131" <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 />o BUILDING <br /> <br />PERMITS REQUESTED <br />J/2 ()-I C7,-1 \,0.9- <br />~_~~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />$ <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 />J II ^^Q. OE.. <br />~.~ VALUATION OF MECHANCIAL INSTALLATION <br />o SPECIALTY 0 OTHER <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />TYPE OF CONSTRUCTION: ~BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS ) 31. ~D ' <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />5 <br />Cl3c o;j~&9~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />******** ********************************************************* <br /> <br />SIGNATURE <br /> <br />/ <br />fin <br /> <br />r <br />I <br /> <br />COMPANY &l1(>t1fl. 'Y;H{~ <br />STATE CERT OR REGIST # 00/3/3 'f <br /> <br />ELECTRICIAN <br /> <br />;:.1 cu~ctf!J <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />jt~ <br /> <br />r <br />I0vOJJ.tf-f!} <br /> <br />v <br /> <br />COMPANY ~+ <br />STATE CERT OR REGIST # CFGOL/J. 99? <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />******************************************:;tF*****~************ <br /> <br />k (, COMPANY . L~ ~JJ.dl fJ~ <br />~ )j.;~ffIf STATE CERT OR REGIS" * C/'tc./)so'il 0 <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />""~'~*'**'******:****'***"'*'*'::~::::*~"~'~~'*~,f=-- <br />/~ fJ;wo/.:1:iJ STATE CERT OR REGIST * IIc~.'3 <br />I.J <br /> <br />OTHER <br />