Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8'1'B St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />'1 ~ 7-f}~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />O~R'S NAME ~ ~LC-"'eY'" <br />JOB ADDRESS _C; J '3 ~ ;;AD ~ '- \~ <br /> <br />PHONE 7.:g B . a. s'l 7 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # I )'.~lJ. ~I-OOW. Ddg?t)... 0006 <br /> <br />(ORTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />, [JSIGN <br /> <br />[J ADDITION <br />, 0 MOVE <br /> <br />[J ALTERAT ION <br />[J DEMOLISH <br /> <br />o REPAIR <br /> <br />[J INSTALL <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />HEALTH <br /> <br />BUILDING SIZE 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 />[J BUILDING <br />[J ELECTRICAL <br /> <br />PE~ITS. REQUESTED. <br />$ S. 7 Cl:3.~ VALUATION OF TOTAL cONSTRUcTI~ <br />AMP SERVICE [J FLORIDA POWER 0 <br /> <br /> <br />0, PLUMBING <br /> <br />, <br />. [J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />[J GAS ,[J ROOFING [J SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES 0 NO <br /> <br />SIGNATURE <br /> <br /> <br />CONTRACTOR:~::SI:CTION <br />~'~~'~-':~- ;..:'.; 'j:~(:,;,'~,:'",:<!;:,'Jll:'-.)'': "",;,';'~.'i'.."..;;.;~,'. ," .:'.; .' _. ._' <br /> <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST # <br /> <br />c.c.c:. 0 S8' ISY <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 />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />