Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICAT~U~ <br />BUILDING DEPARTMENT 5335 8TH Se, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br />PHONE CONTACT FOR PERMITTING o'C;:'.r. "7~ p.- <br /> <br />JOB ADDRESS <br /> <br />3751 <br /> <br />"A ft.,! <br />~j[ <br /> <br />Rl () <br />1)ia:lNk~ <br /> <br />~~ <br /> <br />PHONE ~qS.~999 F <br />JOT ~s 3 <br /> <br />OWNER'S NAME (Y) A J iZ. )-,:<.... <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION <br />()o'1c (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />BLOCK <br /> <br />Pl\RCEL 10 # <br />, I <br />WOR~ PROPSED: ~ CONSTRUCTION <br /> <br />';;) 4- - ;;> ~ - €}-/-C:XJ 00 '- GO) Od <br /> <br />DADDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INsTALL <br /> <br />D SIGN <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />DCOMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D # OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />DOTHER <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 <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET.ENERGY FORMS. <br />FORMS. <br /> <br /> <br />*V <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ /'t:;CYJ <br /> <br />....C'C.""' <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />D PLUMBING <br />D 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 />D 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 />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHERgX'./~ ('!:,~~ COMPANY~Y~A"O (?C7h~ <br /> <br />SIGNATURE~_ /c:-~-~ STATE CERT OR REGIST # 2-oI/~) <br />t..1-~ <br />