Laserfiche WebLink
<br />I I <br /> <br />OWNER'S NAME <br /> <br />CITY Of ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING bEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 ~ <br />813-780-0020 FAX: 813-780-0021 <br />DATE RECEIVED / a O! 7PJ- <br /> <br />PHONE CONTACT FOR PE~y~~:~~~:V.CE <br /> <br />Toll Free <br /> <br />~.skrh()/.J. <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />L-tOIl tlrd ~ "J c ~It A~ <br />JSJY AtL6~(. <br /> <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />.Ih . <br /> <br />V, I'IJ~ ~ BLOCK <br />Y()- eJaJoo-o 'j(d) <br /> <br />SUBDIVISION T~ &urrUi /ON}~ <br />/lJ/ /&I!orf <br /> <br />PARCEL ID # <br />WORK PROPSED: 9lNEW CONSTRUC <br />o SIGN <br />PROPOSED USE: OSGL FAMILY <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI - FAMIL Y <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 />/1/ ''t.3l' <br /> <br />BUILDING SIZE <br /> <br />& HEALTH DEPARTMENT APPROVAL <br />/'()orn ~cI,k/lon 'S'kcl <br />SQUARE FOOTAGE S3tY-r <br /> <br />AMP SERVICE <br /> <br />o Progress Energy <br /> <br /> <br />~ 13t:d-J, <br /> <br />RESIDENTIAL: ATTACH (2) PLOT ~LANS & (2) SETS OF BUILDING P <br />COMMERCIAL: ATTACH (3) SETS GF BUILDING PLANS & (1) SET EN <br />IF SIGN PERMIT ONLY (2) SET 10F ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTIO <br /> <br />PERMITS REQUESTED <br /> <br />~ BUILDING <br />~ ELECTRICAL <br />r$ PLUMBING <br />o MECHANICAL $ <br /> <br />$ 01/ /7/. <br /> <br />VALUATION OF <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />~ 1K <br />ro <br />o OTHER ') , <br /> <br />~\..-- \<.7'\ <br />() --\"1\ ....... <br />\~ ~ ,; <br />~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALT <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ~ NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************** <br /> <br />***********~************************************ <br />_..J <br />ip;;-.. >> <br /> <br />ELECTRICIAN / <br />~IL ~ <br />SIGNATURE a... ~ <br /> <br />JJL <br /> <br />COMPANY <br /> <br />m()r~11 <br /> <br />cite/lit <br /> <br />STATE CERT OR REGIST # _ <br /> <br />***************** <br /> <br />M*********************************************** <br /> <br />SIGNATURE <br /> <br />u[~~ <br /> <br /> <br />I-f), ..; ~ <br /> <br />COMPANY c bis .(j aAr <br /> <br />P~//)IJ <br />0,/ <br /> <br />PLUMBER <br /> <br />STATE CERT OR REGIST # <br /> <br />************************************************ <br /> <br />SIGNATURE <br /> <br />~: ~'L..-- tllP~ COMPANY <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />***************** <br /> <br />1********************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />I <br />