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 />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME lef'.l~ CL( t-\~V\;lt, S <br />JOB ADDRESS-1~S\ n~erCkN~\j:\\t: C\rcAt <br />LEGAL DESCRIPTION: LOT(S) ! ~ \ BLOCK ()(J <br /> <br />PHONE <br /> <br />SUBDIVISION Cfc.s.J.v: f.A,A..) \:lV <br />s <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />! <br />WORK PROPSED: DNEW CONSTRU~TION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />J1 INSTALL <br /> <br />DSIGN <br />PROPOSED USE: oSGL FAMILY dWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />l( n WlOkJ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLqT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETls OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SE~S OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVE~ 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 />W PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALty <br />I <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 />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />I COMPANY <br />I <br />I STATE CERT OR REGIST # <br />! <br />****************~************************************************* <br /> <br />SIGNATURE <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 />SIGNATURE <br /> <br />I <br /> <br />****************t************************************************* <br />! COMPANY <br />I <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />STATE CERT OR REGIST # <br /> <br />**************** ************************************************ <br /> <br /> <br />OTHER COMPANJm en CCc.N rrrl~ a+lCN <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />