Laserfiche WebLink
<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 />DATE RECE IVED <br /> <br />1/-/-05' <br /> <br />S 1-t'''1''l.>-,\ <br />PHONE CONTACT FOR <br /> <br />PERMITTING f I 3~ 7/Y- PI J :? <br />J"/1. - / ,p "3 - I r6 r <br /> <br />PHONE C;'J> 7 - ::>)D - s.---y 9 S- <br /> <br />if 3,,( <br /> <br />OWNER'S NAME <br /> <br />t&Shl/LJL <br /> <br />JOB ADDRESS_ 3~ -)~! <br /> <br />2- ({I" II..> <br />I) oJ.... BLOCK J f.o <br />~2 - 2(.,-2/- OL>/U'-OS-U0~ .- <br /> <br />c. 1 <br />g <br /> <br />).-v <br /> <br />rf <br /> <br />PARCEL ID # <br /> <br />2.1 . <br />SUBD~VISION. ~ ~/7 J-I.JJICL.J <br /> <br />O~Ol~IN FROM PROPERTY TAX NOTICE) <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />.&( INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />[tr MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />o <br />f(() <br />lei )( ~ S r <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />Ie; / k /l4dcd / <br /> <br />DESCRIPTION OF WORK <br /> <br />SQUARE FOOTAGE <br /> <br />~O() <br /> <br />HEIGHT <br /> <br />j s! Y/I <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 />,.. <br /> <br />PERMITS REQUESTED <br /> <br />1f.~/2~ <br /> <br />~ILDING <br /> <br />$ <br /> <br />Suo <br />/0 D <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />C1' ELECTRI CAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />l6'PLUMBING <br />~ECHANICAL <br /> <br />$ <br /> <br />IS-DO <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />I5d'" FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />~;; I' <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />Q(NO <br /> <br /> <br />BUILDER <br /> <br />/L / / /' COMPANY W/f <br /> <br />SIGNATURE / ./,/ 'U V\ STATE CERT OR REGIST # <br />-/,/ P <br /> <br />.I/-!()<.::>o~ bD,Y <br /> <br />****************************************************************** <br />J <br /> <br />SIGNATURE <br /> <br />.x;h- <br /> <br />COMPANY c.,oVy. Eler-+riC-/ <br />~ ~ STATE CERT :R REGIST # CC-/3DO n?t:,3 <br />.;- <br /> <br />- ft4f~ <br /> <br />ELECTRICIAN <br /> <br />*******************************************************k********** <br /> <br />PLUMBER L~ <br />SIGNATURE .' /" .. <br />v <br /> <br /> <br />/ I 1/ COMPANY (/fJIl (t U r-jlJ( ~ j <br />-L, ./0/" STATE CERT OR REGIST t T(icJuov G;" y ~ <br /> <br />"'H H ~~~;~~;H 1'; ~~~:... i7/;' *... *11 \c, Y'}{1 <br /> <br />STATE CERT OR REGIST # (tic. 0 :)"/) / J> <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />******************************************* <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />