Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICAT.1U1'I <br />EUILDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />sl<ltJ S- <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />OWNER'S NAME :r tl /'\ 1: 5 .A. sF t: /1 ;<..5 <br />JOB ADDRESS '39 Y ~o soum /I\lE <br /> <br />PHONE ~ 3ljO 'S-S-lf;) <br />ZcfHyl<MLC5FL "335''-I-:J... <br /> <br />" <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: []NEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />Pi( INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK SeT uP fo{<.-r7'fBW /'1E:T71L H,47v'~ <br />I r <br />BUILDING SIZE '-/;;2?( 3 'I SQUARE FOOTAGE 10 .Cf ;l. <br /> <br />HEIGHT <br /> <br />I;]. <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 />y?\ lb\:::~ <br /> <br />..1. <br />";:;> <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <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 />VALUATION OF <br /> <br />MECHANCIAL INST~LATION . <br /> <br />11 2e )_~.~ '- <br />o OTHER r)LJ) - <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />~ OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />g STEEL <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />(J,l.cHA/tD De-LAFJ cL:j) L EL/) d <br />BUILDER DeF'';-D COx STf'u<Ttd-N COMPANY () E An - Q,;./srP-uC1Zo <br />SIGNATURE ~4.~ .fJ;JJ!<,1t2J STATE CERT OR REGIST * Gel 800 (,0<( <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 />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />11 <br />