Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICAT~U~ <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br />PHONE CONTACT FOR PERMITTING 6c;.J-. "797 r <br /> <br />OWNER'S NAME (Y) A J ~ 5',:<.. <br /> <br />c' A rc.,J <br /> <br />Rl t; <br />h"" <br /> <br />PHONE C, qS.- (,'99 $" <br />k+- )q-;3 <br /> <br />JOB ADDRESS'J153~ <br /> <br />Cca~ <br /> <br />P* <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION <br />OOCJC (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />BLOCK <br /> <br />Pl\RCEL 10 # <br /> <br />~4 -~~ - ~/-OCJOD~ Cd)OCl <br /> <br />, , <br /> <br />WOR~ PROPSED: ~ CONSTRUCTION <br />DSIGN <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL 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 />DESCRIPTION OF WORK <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 /> <br /> PERMITS REQUESTED <br />0 BUILDING $ /~LY) ,. .e> C~, VALUATION OF TOTAL CONSTRUCT <br />0 ELECTRICAL AMP SERVICE 0 Progress Energy <br />0 PLUMBING <br />0 MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />0 GAS o ROOFING o SPECIALTY 0 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 /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHERg5L/'/~ ~l,'h~ COMPANy/(b.5LY'~O (?c7h~ <br />r'~ ,..--:? ~I <br />SIGNATURE /.... {_ /e-....(-~ <br />, <br /> <br />STATE CERT OR REGIST # <br /> <br />.- <br />2-'#~) <br />~/'~ <br />