Laserfiche WebLink
<br />JOB ADDRESS <br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI:LDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />\ 813-780-0020 FAX: 813-780-0021 --- <br />DATE: RECEIVED /)- ~ /- () S <br /> <br />PHONE CONTACT FOR PERMI~rTING f? !(- I~t/C:S <br /> <br />S f01! v<: 0 f; :;:;:;c. PHONE f!J, ~ 2fs. ~ 9S?:7 <br />f/dY( ~;g?,( !$;~ <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID Jt <br /> <br />']J- - d~-J;l ~ 6OId~~-toa? <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br />(J SIGN <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />~OMMERCIAL <br /> <br />(JADDITION <br /> <br />(JALTERATION <br /> <br />(J REPAIR <br /> <br />B-rNSTALL <br /> <br />(J MOVE <br /> <br />(J DEMOLISH <br /> <br />(JMULTI-FAMILY <br />(J INDUSTRIAL <br /> <br />(J Jt OF UNITS <br />(J SWIMMING POOL <br /> <br />l3MOBILE HOME <br />(J OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK fN,,-hI/ /yyxl!lffZ. 12v~fjJS . <br />BUILDING SIZE d7"X. YV' SQUARE FOOTAGE ICD-;h <br /> <br />HEIGHT <br /> <br />J -3 I L. II <br /> <br />PERMITS REQUESTED <br /> <br />/ <br /> <br /> <br />FORMS. <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING <br />[!f'" ELECTRICAL <br />lIJ'PLUMBING <br />(J MECHANICAL <br /> <br />$ <br /> <br />c.?,OCO <br />~V <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SE~VICE <br />tJv,JJl....,....d v....." <br /> <br />~progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />(J GAS <br /> <br />(J ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK 0 FRAME <br />2 '1 I' <br />FINISHED FLOOR ELEVATIONS ~ <br /> <br />(J STEEL <br /> <br />crOTHER <br /> <br /> <br />IS PROJECT IN FLOOD ZONE AREA(J YES <br /> <br />SIGNATURE' <br /> <br /> <br />J1J-~7-S~{fCOMPANY'V/ /hI/I? ~~ J1-l; <br />610" Y{)-ft-/? STATE CERT OR REGIST Jt f~J-7 <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br />SIGNATURE ~\A ~ <br /> <br />COMPANY ~.tt.-e 'Jot t?t~ ,t 01 ~~\ )-~ <br />STATE CERT OR REGI ST Jt €'e \)c)c) \"3 -S 'J <br /> <br />****************************************************************** <br /> <br />PLUMBER ....... j <br />SIGNATURE L/L /).. -/ ./ <br /> <br />COMPANY ~ (<fl+O- Root fr <br />STATE CERT OR REGIST It Ce..c 1'12(.;111 <br /> <br />* ** ** *** * * * ** * ** ** * * * * ** * * * * * * * * * * * * * * * * *** * ***~>>** * * * * * * * ** * * **,* <br /> <br />MECHANICAL COMPANY 1,./'" r/l-f-/t~ E1 ~~ In 'c <br />SIGNATURE V<-~7A ~~ STATE CERT OR REGIST t Cine -oS'S''! 7(:, <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />~~~:\I:.~J\ <br />.. 0,,',' <br /> <br />STATE CERT OR REGIST It <br />