Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:B13-7BO-0021 <br /> <br />DATE RECEIVED <br /> <br />OWNER'S NAME <br /> <br />~ <br />iJA-eJ?1.4R P,..pLJ~57,L'~ s -TAlc PHONE (~r -1) 9crQ,..j 3Cf! <br />~?/) 5fi, S/Y~C-/ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [)NEW CONSTRUCTION <br />[) SIGN <br /> <br />[)ADDITION <br /> <br />[)ALTERATION <br /> <br />[) REPAIR <br /> <br />[) INSTALL <br /> <br />[) MOVE <br /> <br />[) DEMOLISH <br /> <br />PROPOSED USE: [)SGL FAMILY DWELLING <br />[) COMMERCIAL <br /> <br />[)MULTI-FAMILY <br />[) INDUSTRIAL <br /> <br />[)# OF UNITS <br />[) SWIMMING POOL <br /> <br />[) MOBILE HOME <br />[) OTHER <br /> <br />BUILDING SIZE <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />5'0 \ ff fCJr/VQ7 P..._c t"" <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <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 />PERMITS REQUESTED <br /> <br />[) BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[) ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[) Progress Energy [) <br /> <br />W.R.E.C. <br /> <br />[) PLUMBING <br />[) MECHANICAL <br /> <br />$ <br /> <br />[) GAS <br /> <br />[) ROOFING <br /> <br />[) SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[) OTHER <br /> <br />TYPE OF CONSTRUCTION: [) BLOCK <br /> <br />[) FRAME <br /> <br />[) STEEL <br /> <br />[) OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[) YES [) NO <br /> <br /> <br />~ <br /> <br />COMPANY ;1-/5q~~N-~ ~~ I ..:z;,C <br />STATE CERT OR REGIST # CbC CJ~JJd? '1 <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 />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />