Laserfiche WebLink
<br />CITY d~ ZEPHYRHILLS PERM1'J.' A.I:'.I:'.LIJ..l...ft.~.L'..LVJ.'C <br />BUILDINGi DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 # <br />! 813-780-0020 FAX: 813-780-0021 a~ <br />, DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />I <br />I <br />In tJf/ P If-~ / <br />31 III t()Y~4r <br /> <br />tU/I7J t' <br />{h /t~ <br /> <br />PASCO PERMIT SERViCE <br />PHONE 1-866-824-7894 <br />Toll Free <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION tL/I~4/' J /Jj;-/ ,;?W( <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />/C/- cJ-~ -02{- OOrJrJ- ()O~()U-OcYJ) <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUqTION <br />oSIGN <br />PROPOSED USE: 9(SGL FAMILY qWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <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 />c=J fESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK rO~1 O~r ir; xS-{) <br />Iii xSrJ ' 70G J <br />BUILDING SIZE 7 SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SE~S OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) S~TS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURV~Y REQUIRED FOR ALL NEW CONSTRUCTION. <br />I <br /> <br />~ BUILDING <br />o ELECTRICAL <br /> <br />i <br />I <br />IJU <br />$ S; JoG, I <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <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 />o GAS <br /> <br />o ROOFING <br /> <br />I <br />o SPECIAL~Y <br /> <br />o OTHER <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />('/'~C ( <br />Sr <br />If) / <br />o OTHER rlo <br /> <br />5';' i <br /> <br />, <br /> <br />TYPE OF CONSTRUCTION: 0 BLock <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />~ti t~ ~V( <br /> <br />! <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN <br /> <br />***************~************************************************** <br />I <br />I <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 />************************************************* <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />