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 />PHONE CONTACT <br /> <br />DATE RECEIVED '7 b;() s- <br />I <br />FOR PERMITTING 7~)..- D9 d- D <br /> <br />OWNER' S NAME J-.Qr r~ ! ~ DS.~ \; i... G.f'"-h.:. r t PHONE &\:) · 7 &'0 - 81 0 ~ <br />JOB ADDRESS (09 o~ S~~~c::U:::k <br /> <br />PARCEL ID # C ~ .. d- <D ,. ~ t.. 0 lloO. 00000... Q q{ D <br /> <br />SUBDIVISION $~u.. G~~ <br />(OBTAIN FROM PROPF.~+~"~~~:F.) <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[J ADDITION <br /> <br />[JALTERATION [J REPAIR ~I~STAL~L <br /> <br />[J DEMOLISH ~~~ ~O Wt _ J <br />~.:5 ' 135' w,-s' WA- ~O~ <br />[JMULTI-FAMILY 0# OF UNITS [J MOBILE HOME <br /> <br />[J INDUSTRIAL 1iSWIMMING POOL [J OTHER <br /> <br />DEPARTMENT AP OVAL <br />W SS' W/S' .5~ <br /> <br />[J MOVE <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />PERMITS REQUESTED <br />$ 3&...{..?i 51. ~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES 0 NO <br /> <br />SIGNATURE <br /> <br /> <br />co~g!J:9:Ri.SECTION <br /> <br />~.C' COMPAN;t6.J~ :5cJv,OJiACOsu-l, ~ <br /> <br />STATE CERT OR REGIST # ()P~ /~~~/-3 <br /> <br />BUILDER <br /> <br />* ******************************************************.k********* <br /> <br /> <br />ELECTRICIAN .. ~ -S .;;,~ COMP~.e~e.. [/~.e.i~.-A.MJ., ~. <br />SIGNATURE -'\.~~~ STATECERTORREGIST# l.?G/jOV/~ <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br /> <br />(J ~?.> COMP~." S~_~,d. ~, <br /> <br />~~ STATE CERT OR REGIST ~ ,pC- 11/0{g7/3 <br /> <br /> <br />**** *********************************************************** <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHER <br /> <br /> <br />m.mHHH~HHH::~::;~~.~. ~ <br /> <br />~)~ STATE CERT OR REGIST # <!.A ~ t)sqg/7 <br />