Laserfiche WebLink
<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIrING DEPARTMENT 5335 B'lH st, Zephyrhills, FL 3]542 <br />813-7BO-0020 FAX: 813-780-0021 ,I \ <br />,1 DATE RECE IvED -1J \ \ 0 V <br /> <br />PHONE CONTACT FOR ~~',"~in ~~-::~:\i'\C..!;; <br />", . 5\3,6-824-7894 <br />Toll Free . <br /> <br />JOB ADDRESS <br /> <br />3s"' " ~ <br /> <br />/2,{;~f tv inv!O<<J <br /> <br />10 IJrmaLt-u <br />oJ ,I <br />OJ f/ -~(, ~J/-IJOi () - OtJO()J - ~ 7 'l D <br /> <br />&tk, <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION -rk .GJU~tJ ,t?O/~ <br />/LV R.4.rtJ I' f <br />(OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />PARCEL ID it <br /> <br />WORK PROPSED: 74NEW CONSTRUCTION <br />o SIGN <br /> <br />PROPOSED USE: ~GL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />O. OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />DOTHER <br /> <br />DESCRIPTION OF WORK <br />f <br />BUILDING SIZE /~)( '1*-' <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br />I ti.-/1 4- i AJ / I..[ t!A.u ^ <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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />SQUARE FOOTAGE <br /> <br />rfJom <br />S Of! , <br /> <br />HEIGHT <br /> <br />t-iDC- ----- <br />'('Y"\~ - f.J I ~ <br /> <br /> PERMITS REQUESTED <br />~ BUILDING $ lif) OQ? (fJ VALUATION OF TOTAL CONSTRUCTION <br />~ ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />t& PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />D GAS o ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />BUILDER <br />Dlvur <br />SIGNATURE <br /> <br />.//./...// / J . / leo,c- COMPANY .~r <br />~-<T7L V ---:.... ~ STATE CERT OR REGIST · <br /> <br />ELECTRICIAN <br />SIGNATURE ocvfl.,Q ( <br /> <br />****************************************************************** <br /> <br />6b, "::Jb COMPANY d4Ju.r <br /> <br />/!plJvJ . tv IN Iov <br /> <br />, <br />STATE CERT OR REGIST . <br /> <br />************************************************~***************** <br /> <br />1Z~~f <br /> <br />1'_,' S0 <br />1..94 , COMPANY <br />W;f)S I()/() <br /> <br />O~IJ r <br /> <br />PLUMBER <br /> <br />SIGNATURE OWNJ r <br /> <br />STATE CERT OR REGIST it <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />MECHANICAL <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />********************************************~******************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br />