Laserfiche WebLink
<br />I III <br />CITY qF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDINGI DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />, 813-780-0020 FAX: 813-780-0021 <br />DATE RECEIVED <br /> <br />~/zJ~S- <br /> <br />, <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />PARCEL 10 # <br /> <br />/Lf- ~&-- ~/- <br /> <br /> <br />"JJ /H,ot;/~ <br />~ ,- <br />S ( . <br /> <br /> <br />PHONE <br />~ <br /> <br />77..:1, sz..5~ 0 <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT{S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: <br /> <br />o ADDITION <br /> <br />oALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE:~~ILY <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 />& HEALTH DEPARTMENT APpROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH {2} PLO <br />COMMERCIAL: ATTACH (3) SET <br />IF SIGN PERMIT ONLY {2} SE <br />PROPERTY SURVE <br /> <br />PLANS & (2) SETS OF BUILDING PLANS <br />OF BUILDING PLANS & (1) SET ENERGY <br />$ OF ENGINEERED PLANS REQUIRED. , <br />REQUIRED FOR ALL NEW CONSTRUCTI~ <br /> <br />& (l) SET ENERGY FORMS. <br />FORMS. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF <br /> <br /> <br />S",::,~(JI)'P <br />W. R. E. C . i~tJ ,-.t; <br />~ <br />tll. <br /> <br />PERMITS REQUESTED <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIAL Y <br /> <br />o OTHER <br /> <br />#507/ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOC <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 />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** J;' <br /> <br />_ J U~D -h I V <br />COMPANY ~ ~ - ~ <br /> <br />SIGNATURE <br /> <br />0J <br /> <br />STATE CERT OR REGIST # <br /> <br />PLUMBER <br /> <br />******************************************************************~ -i- <br /> <br /> <br />COMPANY ::5"~ - O~ <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />STATE CERT <br /> <br />*~**************************~******************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />