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 <br /> <br />C(~TACT FOR PERMITTING 7) I J r l' I ~ . 2<; ?/I <br />".)<1 tu' L \ \J b'l- ~ <br /> <br />PHONE 8'3 - ?J g 2- - J-h16,j j1_~7,3 <br /> <br />Lu,/Iar 1-h/'ilS, Jt16 <br />JOB ADDRESS "753;; ifY'erCJ,Qf") + \J (I (I e CuU1p <br /> <br />LEGAL DESCRIPTION: LOT (S) 03 BLOCK ~ SUBDIVISION 6u.J..fviuAJ <br />PARCEL 10 # 3~- d-.S-- 21-0\2:0- o((Yb-f> Ot..o?o (OBTAIN FROM PROPERTY TAX....NQ.T.ICEI <br /> <br />OWNER'S NAME <br /> <br />WORK PROPSED: 11!1 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OOSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK kSudCi UCZt)(/ ~ ' wJ / t: j;f( /I+-- <br />BUILDING SIZE vO. d. y. Lf SQUARE FO TAGE [)31 L{J <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 />~ILDING <br /> <br />~ECTRICAL <br /> <br />~PLUMBING <br /> <br /> <br />'tfMECHANI "#!, $ 'k} \ QeD, - VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS If'k60FING 0 SPECIALTY 0 OTHER <br /> <br /> <br />TYPE OF CONSTRUCTION: ~ BLOCK 0 FRAME <br /> <br /> <br />FINISHED FLOOR ELEVATIONS _~~< ~ <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />(~\ ,90 VALUATION or TOTAL CONSTRUCTION <br />~ AMP SERVICE 0 Progress Energy ~ <br /> <br />W.R.E.C. <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD 'YES <br /> <br />~O <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />Cl3e vII iP(P9j- <br /> <br />***~_~.ww*********-************************************************* <br /> <br />SIGNATURE <br /> <br />ot/d-- <br /> <br />i-O~~ <br /> <br />COMPANY t~1 /O{]tJ:y;J,y,,-, <br />STATE CERT OR REGIST # 00/ 3103 .~ <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />~t1L <br /> <br />MudiJ <br /> <br />. <br /> <br />COMPANY ~tf)~+ <br /> <br />STATE CERT OR REGIST # CFGoilJ. 9(;~) <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />******************************************:;2F****~~************. <br /> <br />~ COMPANY . ~J -Vl/U,f) JO ~ <br />~ STATE CERT OR REGIST # Cliu.Js-;? ~/ 0 <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />~- <br /> <br />***************************************************************** <br /> <br /> <br />COMPANY C. 0~ ~<1:t- ~tt- <br />' -;~./ <br />STATE CERT OR REGIST # .l1cL/ s :I 01'-- <br /> <br />Ji)/lP /db <br /> <br />(/ <br /> <br />OTHER <br />