Laserfiche WebLink
<br />1111 <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BuILDINq DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />10/tf!Oj- <br /> <br />I <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />/ B)t/A <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: <br /> <br />~EW CONSTRU <br />OSIGN <br />PROPOSED USE: [JSGL FAMILY <br /> <br /> <br />o ADDITION <br /> <br />[JALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />[J MOVE <br /> <br />o DEMOLISH <br /> <br />[J COMMERCIAL <br /> <br />OMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />o <br /> <br />ESTAURANT & HEALTH DEPARTMENT APPROVAL <br />.r-j'/eYw' C; <br /> <br /> <br />BUILDING SIZE <br /> <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: ATTACH (2) PL T PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SE Si 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 /> <br />PERMITS REQUESTED <br /> <br />[J BUILDING <br /> <br />$ <br /> <br />.5 3v, & <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />[J PLUMBING <br />[J MECHANICAL <br /> <br />TYPE OF CONSTRUCTION: [J BLOC <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIAL Y <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES [J NO <br /> <br /> <br />BUILDER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />*************** ************************************************** <br /> <br />ELECTRICIAN COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />I <br />*************** ************************************************** <br /> <br /> <br />PLUMBER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />*************** *-k************************************************ <br /> <br />MECHANICAL COMPANY <br /> <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />i <br />************************************************ <br /> <br />OTHER <br /> <br />COMPANY ~ tA/Ihf/JD /i.;ee +S:#e-7 <br />STATE CERT OR REGIST # Lfj7~u SO OCJ/ /rf >? <br />