Laserfiche WebLink
<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIiLDING DEPARTMENT 5335 8TH St, Zephyrhills, ~~ 33542 <br />I 813-780-0020 FAX: 813-780-0021 in /.::?- DS <br />, ;1 DA,TE RECEIVED /....0" . <br /> <br />I PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME CA/11, f. L V~,v q c ~',: If <br />JOB ADDRESS S 3_? 6' 20 rh. S /, <br /> <br />PHONE 7(j.5 - C $/.5' Y <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />o ADDITION <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />~-i'NSTALL <br /> <br />o MOVE <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM <br />'~HER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APfROVAL <br />~~,e. <br /> <br />A/c <br /> <br />" <br /> <br />t//1/ I "r <br /> <br />OJ(6-'' ~ 0;) 7- <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS, . '..... <br /> <br />PERMITS REQUESTED <br /> <br />/ <br /> <br />//~ 5/ J;??5 <br />( -// -: --:::-/ / <br /> <br />'------- <br /> <br />o BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br />o ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />o PLUMBING <br />~CHANICAL ~.sOO <!JC1 <br />$ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />rr:l,....,'~""7"rr:r l'M".....~~' -" ~<, ~-~ -:-,....--;--...--~ .-.~...-- -- ~-..~" . ~~ I--~- -~---- --- ~~~~ Jl'" - ,M " MI~ - -~ -~ -~,. -~ ~T""" ---;~~:-;~fr-I <br />1[1\11 It I ,I 1- 'j I I I , I I t i r , I I :: I -~ It I I ~~,~~ <br />W~~~'~~~_~~~-"-1-I~_~I>.'DL.C~l':"'-'~_~~._~_~_~_____ _____~. ~_~J__'_'_"_~~~~~j <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 />MECHANICAL COMPANY ~ ~ If Jt.. ~ jJ 0/ -f...., GAl!!. i2..1/C ..rr/C~ <br /> <br />SIGNATURE ~~~......................:::::.::::.::.::::::.:......... <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />