Laserfiche WebLink
<br />I <br /> <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 RECE IVED <br /> <br />>1- :27'-OS- <br />. <br /> <br />PHONE CONTACT FOR PERMITTIN? f/-f- 2P j -S~ j-',JCfPl/ <br /> <br />OWNER'S NAME IV V IJ__ , <br />/ / <br />JOB ADDRESS ~ t? / c!J po <br /> <br />rvtr.11 / U;ZN;; 4. y.-- 4 N-I'd A/ PHONE 97'''} - J I J / <br />/~ ~4 17 v e, :z e/:J~V~ It J '/-1:. r I..~ ~J -S-y J. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL II! # //- d~-~ 1- &&ltJ-dlclr!)t!J-!J;JStJ <br /> <br />(QBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION o ADDITION )8IALTERATION o REPAIR [] INSTALL <br /> oSIGN [] MOVE [] DEMOLISH <br />PROPOSED USE: []SGL FAMILY DWELLING oMULT I - FAMIL Y 0# OF UNITS o MOBILE HOME <br /> ~OMMERCIAL o INDUSTRIAL o SWIMMING POOL o O'rHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT <br />T/-/ /11 /C ' ' tJ /c <br /> <br />& HEALTH DEPARTMENT APPROVAL <br />k,e ~~ ~/'/~/O <br />,/ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDEN'l'IAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF' SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />[] BUILDING <br /> <br />PERMITS REQUESTED <br />tiC' <br />$ 0<)..1 C?r-~ <br />15 /.~ / /...!o VALUATION OF TOTAL CONSTRUCTION <br /> <br />E X \\~Jr'J/f I) AMP SERVICE <br />/ <br /> <br />iJJ~ <br /><~/~ <br /> <br />o ELECTRICAL <br /> <br />[] <br /> <br />FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />L!!-. <br />$ -<-\CJ tJ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE lffiEA[] YES 0 NO <br /> <br />r-'----------,. <br /> <br />BUILDER <br /> <br /> <br />-.~_~tl1r~'l~'<>1 ~ <br />COMPANY JtI' AI L.., ~ J,'t-'} .7-4. C,/tJ tV/';(, h/C <br />~ ~R STATE CER'f OR RE:GIST ~ 9/sc cJS 5> S:-/ ? <br /> <br />SIGNATURE <br /> <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY rrU'e:; f C(4. '? ~ t-=tec.fv L~ <br />STA'I'E CERT OR REGIST # _ F:.c ..vc.k~~ 70 <br /> <br />ELECTRICI <br /> <br />********************************************** <br /> <br />PLUMBER <br /> <br />~4~6A <br /> <br />COMPANY (lll/els' (JAf#( (?LU#1br';v6 <br />STATE CERT OR REGIST # L Fe I <f 2..f) '1%2. <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br /> <br />..............~..........**.*~~~~~~.*.~;;:;;;:.~;:;;,:;i*ii~yI~~ <br /> <br />. ~ STATE CERT OR REGI ST # _ / P .;( <br /> <br />*******~.~********t**********~*t******************~*************** <br />, '-',. <br /> <br />OTHER <br /> <br />CO~?AN>T, <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REG 1ST # <br /> <br />-----~-~-,._.._~----- <br />