Laserfiche WebLink
<br />I 1 <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 />9~~/or <br /> <br />OWNER'S NAME <br /> <br />PHONE CONTACT FOR PERMITTING 7 B'2.. 0) BG8 <br />(LA2.2-Y ) <br /> <br />PHONE 782 -'2?(O~ <br /> <br />WORK PROPSED: 0 NEW <br /> <br /> <br />JOB ADDRESS <br /> <br />2e <br /> <br /> <br />SUBDIVISION ~Ut-.Jcs.e:T' ESTA TE'S ~ <br /> <br />BLOCK <br /> <br />PARCEL ID # 112.- <br /> <br />- 00000 -0 0 <br /> <br />~ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br />PROPOSED USE: ~GL FAMILY <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />o COMMERCIAL <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 R STAURANT & HEALTH DEPARTMENT APPROVAL <br />~am;1 r(OOM A dJ;tion <br /> <br /> <br />SQUARE FOOTAGE <br /> <br />SiC:, <br /> <br />7 ~ u.. " <br />HEIGHT .. <br /> <br />BUILDING SIZE <br /> <br />'21.f )C 24 = <br /> <br />RESIDENTIAL: ATTACH (2) <br />COMMERCIAL: ATTACH (3) SETS <br />IF SIGN PERMIT ONLY (2) SET <br />PROPERTY SURVEY <br /> <br />PLANS & (2) SETS OF BUILDING PLANS <br />OF BUILDING PLANS & (1) SET ENERGY <br />OF ENGINEERED PLANS REQUIRE~ <br />REQUIRED FOR ALL NEW CONSTRueN <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />PERMITS <br /> <br /> <br />~BUILDING $ <br />Ii'ELECTRICAL AMP SERVICE W.R.E.C. <br />ri PLUMBING <br />riMECHANICAL $ ';"00 VALUATION OF MECHANCIAL INSTALLATION Jf L{q~ q <br />o GAS o ROOFING o SPECIALT 0 OTHER <br /> <br /> <br />TYPE OF CONSTRUCTION: ~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 AREAD YES [3"'No <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY Wood C 0 t"\ ~rlJ c-r I '0" <br />Roo+'u'",~ <br />STATE CERT OR REGIST # '372 <br /> <br />BUILDER <br /> <br />**************** <br /> <br />SIGNATURE <br /> <br /> <br />5o,q 0 COMPANY R~e.,~ E: I ec. +Y"' c.a. J <br /> <br />STATE CERT OR REGIST # EC I ~oo, '353 <br /> <br />ELECTRICIAN <br /> <br />PLUMBER <br /> <br /> <br />* * * * * * * * * * * ** * * * *,..;l-d * * * * * * * * * * * .tff * * * * * * * * * * * * * * * * * * * * * * <br /> <br />1 ~ I .) JIll [)e.. W(J1 eI'L <br />COMPANY ~~~~ c:.~ ~ZCf~ <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />* ************************************************ <br /> <br />tftj,~ 0 COMPANY SO l"lny's <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />ltk 60 I fit , ( <br /> <br />**************** ************************************************ <br /> <br />OTHER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br />