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 />DATE RECEIVED <br /> <br />Y/;2/{) 5 <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />..J)J b '-"0 <br />7V:os <br /> <br />S:-e\)'\l;t~., <br />~ II. IUIID <br /> <br />dYfld <br />I <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 35 -2..~ -2..1 -OCO()-CX>]<>o - 0020 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK pROpSED: DNEW CONSTRUCTION <br />~N <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />~TALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: 0 SGL FAMILY DWELLING <br />~MMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />.:TP'S1?1 /f N(:;I./J ~ / I S/5~-1 <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 & (I) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (I) SET ENERGY FORMS. <br />FORMS. <br /> <br />~L\'bL(? <br /> <br />o BUILDING <br /> <br />PERMITS REQUESTED <br /> <br />~ <br />:!...C(f )22- ?!;yv <br /> <br />$ <br /> <br />Blo~ ~Q. <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 />" <br /> <br />) <br /> <br />// <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATIOty/ 5cJ <br /> <br />o OTHER ( 4P ~/ <br /> <br />o FRAME 0 STEEL 0 OTHER ~___ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE .P..READ YES <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # _ 6" 00000 q-, <br /> <br />*********************************************,'******** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />19-U) f c.-OCt~T 6JfV1 <br /> <br />5)- ~~:. <br /> <br />STATE CERT OR REGIST # _ B0000097 <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 />