Laserfiche WebLink
<br />I I <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 />lO -1 -05 <br /> <br />DATE RECEIVED <br /> <br />OWNER'S NAME <br /> <br />U8rln',s Minton <br />5& ;Z t1 CatY,' c ex <br /> <br />PHONE CONTACT FOR PERMITTING 5<)-1- *911 <br /> <br />p~irk)(gI3)d8C1...q ~~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />I <br />l~-.;zG, -11 - Q310- 00000 -0830 <br /> <br />WORK PROPSED: [JNEW CONSTRU~TION <br /> <br />o ADDITION <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICEl <br />~LTERATION ~~EPAIR 0 INSTALL <br /> <br />o SIGN <br />PROPOSED USE~SGL FAMILY OWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />(' lvu"r QI&t A/~ :;i~-km <br /> <br />SQUARE FOOTAGE <br /> <br />DESCRIPTION OF WORK <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 />[J Progress Energy [J <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />1 MECHANICAL $ 3q as. pO VALUATION OF MECHANCIAL INSTALLATION <br />[J GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br />TYPE OF CONSTRUCTION:~BLOC~ <br /> <br />[J 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 />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />*******************************************************'k********** <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 />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />I <br />***************~.*************************** **********l**** <br />. I A . <br />~ . COMPANY' <br /> <br /> <br /> <br />MECHANICAL <br /> <br />*************** ************************************************* <br /> <br />OTHER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br />