Laserfiche WebLink
<br />I Ii! <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDINGiDEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE: RECE IVED <br /> <br />f?-j-tJ5 <br /> <br />PHONE CONTACT FOR PERMI~~TING <br /> <br />WORK PROPSED: <br /> <br /> <br />JOB ADDRESS <br /> <br />OWNER'S NAME <br /> <br />~~ <br />~fr;5;): <br /> <br />PHONE <br /> <br />45L\2 fU<iS'k ~ <br />Fe tA r I p-.;. L Jo:.y lYI. <br />D/~ ) <br /> <br /> <br />PARCEL 10 # <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE:~FAMILY <br />o COMMERCIAL <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 />BUILDING SIZE <br /> <br />& HEALTH DEPARTMENT APPROVAL <br />~L ~ Ed'e.-f'1-C- ~ <br /> <br />SQUARE FOOTAGE ~ 7 LjD/~'-ylL ~r HEIGHT <br /> <br />~/ <br /> <br />DESCRIPTION OF WORK <br /> <br />...9-13 U ILD I NG <br /> <br />RESIDENTIAL: ATTACH {2} PL T (2) SETS OF BUILDING PLANS & (l) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (l) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SE S OF ENGINEERED PLANS REQUIRED., <br />PROPERTY SURVE REQUIRED FOR AL,L NEW CONSTRUCTION. Ct+~ Ct\J \ f)>- <br /> <br />)~ GA ~ p~".hrlr.- ~lli~(I.. <br /> <br />PERMITS REQUESTED '1-~ j?~i1ll"-f~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION lr""7rJ,q{.,. f! \..tq-r ) <br /> <br />AMP SERVICE ~gress Energy [] W.R.E.C. <br /> <br />$ <br /> <br /> <br />~LECTRICAL <br /> <br />g--pLUMBING <br />IiJ.i.1ECHANICAL <br /> <br />$ <br /> <br />\ I <br />O&D.D'~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />w)'v-1 <) <br /> <br />o GAS <br /> <br />HROOFING <br /> <br />o SPECIAL Y <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION:~LOC <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 ~ <br /> <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST <br /> <br />******************::::::~~~~~*~, <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # E'R Qf9t4<;;9 f <br /> <br />************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY U-~ ~.~ <br />STATE CERT OR REGIST # C-~/~ 6 () d- <br /> <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * * ~. * * ~ * *.* <br />~ COMPANY '-- s:.~ <br /> <br />STATE CERT OR REGIST # ~([)1t?l..f9"K <br /> <br />***********************~(*~*******~ - <br /> <br /> <br />COM PAN ~ '-'''''-- <br />STATE CERT OR REGIST ~ IS~S'S OS <br />