Laserfiche WebLink
<br />I 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 RECEIVED <br /> <br />9- / ,h?'r <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />,&n..IIjI' .1 vC'/9S <br /> <br />PHONE <br /> <br />F/3- J(,t!"-///O <br /> <br />JOB ADDRESS <br /> <br />5""/07 <br /> <br />b~Hl {:lit/P. Zq::'/lI"RAI...lL/f A 33sr/ <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: oNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />_ALTERATION <br />o DEMOLISH <br /> <br />~ REPAIR <br /> <br />liU INSTALL <br /> <br />oSIGN <br /> <br />o MOVE <br /> <br />PROPOSED USE: oSGL FAMILY DWELLING <br />~COMMERCIAL <br /> <br />oMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />..z~:j7"'L(' <br /> <br />A'~ C"""PJ:7-.z:o.v, ,.&.."...De t/t7r?E' ~LEC.?k...z-C/9L <br />, <br /> <br />BUILDING SIZE <br /> <br />S.3 tlt7 <br /> <br />SQUARE FOOTAGE <br /> <br />.53~C1 <br /> <br />HEIGHT <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 />o BUILDING <br /> <br />$ <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 />~ MECHANICAL <br /> <br />$ <br /> <br />J97 ~tJt'O <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: V BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />"tir FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES J(NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE /~ <br /> <br />~/.t" ~OMPANY <br />f1~~:J V STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REG 1ST # <br /> <br />**************************~9************************************** <br />MECHANICAL /JtS' ~" COMPANY <br /> <br />SIGNATURE ,,;;:--~ ~-,::7 y- STATE CERT OR REGIST i <br /> <br />***************** *********************************************** <br /> <br />OTHER <br /> <br />J1;$ <br /> <br />-:- 'P.z- <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />