Laserfiche WebLink
<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI:LDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX: 813-780-0021 <br />DATE RECEIVED <br /> <br />5'1'5;), <br /> <br />I\-\R"-O~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />u v'lJ\. at V <br />15 d~ ~--e,nf'\) %l <br /> <br />LEGAL DESCRIPTION: LOT (S) \ \d-. BLOCK 0 <br />. <br /> <br />'~S r d~ -'01' 0('a-O-00~O- <br /> <br />OWNER'S NAME <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />PARCEL ID # <br /> <br />SUBDIVISION 0 V-e~~vJ l-hlls <br />\1'dQ <br />(0 AIN FROM PROPERTY.TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />Os I GN <br />PROPOSED USE: [] SGL FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />[]ADDITION <br /> <br />[]ALTERATION <br /> <br />[] REPAIR <br /> <br />-EtINSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[]# OF UNITS <br />[] SWIMMING POOL <br /> <br />[] MOBILE HOME <br />[]OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~( LIl~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />NIA- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />[] MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />~ER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES 0 NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />1jj~:f!''''ltt1!=':-''''''' 1"""'~""""""'~ "...,.-"t ..,-~-,..."..~",.,.~...,~-- -r""''''~~''~'' .~ "r~'-l~ - -~--~--~ -~ - r..... ~, -~-~'+,- --r..:Yt-.~~....,", ~~,~~,..,....,., -LTrt-~"""~~""'~dp't';l!~!!~"W <br />r.'llhl"J':I":"li~ll"jt->;,;.cI:, ,clJ1l ""r'j~~rj~l~ j ,,II 11' \'1 I l~jll,l.1Jrl ~'i....' I ~~f'''I''l *J~1~11!2"j!'ir\.t~J'~'~vJ./)~~~)01f; <br />~~~~~~~~_.!l~~:.~.t._.:~~~-J.~~~~'~~~~_~ ._~~___~___~~':'..L..-~~II,' ~1 f. '->I}t.. @,'~. <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHER. ~*****i:~*~*******************:::::;~;~~~*~ <br /> <br /> <br />SIGNATu~~l~' , STATE CERT OR REGIST # <br />