Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8m st, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAMEr\l'>b.er+ i4b'j' OJ!\.. <br />JOB ADDRESS 39SJ Q) (VlUi(~t'xA) (') 0 cO \ ~ <br />LEGAL DESCRIPTION: LOT (S) I a.s- BLOCK <br />PARCEL ID # \3-~ -,;L, - O\Li <:)- 006(')Q)- \~g-o <br /> <br />PHONE ~~ -~\O - (!)("SJ <br /> <br />- -~. <br />, , <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />/OBTAIN FROM PROPERTY TAX NOTICE\ <br />DALTERATION lif'REPAIR 0 INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />o it OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK \\e- \\""'1 <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 />$ 3'6E:)6. "'0 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />, AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />G PLUMBING <br />o MECHANICAL $ <br />o GAS ~OOFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o 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 />~-I,.~...".~=~~--"~~~--r--------~' ---------,- -l,..,.,~'''''~'''_" <br />. ~ i1:.:.~:l+j1 kJ I r{ , lr~ II) (~ I ~ ,} I I r J 1-, ~ ~ 1 I 1 I L "I ',. I .,' '. . ~ j I ',1 " '<~,-e;, .~l'" ; Jf 1 <br />~' ,it, ,Jil~;'f~.r.., :Wit ::;J~hl:~i}Jh~,:~lli'I:!~31[H;:;~}1:\:':.+~i:,_'!:~L~,'r i 1~11 I I,I : , '." ! I I \ , \ ,~ : 'I \ 1\ l t: ' I 'I J ~' <br />j;f."::.u~~~-~-----~"~~~~~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST it <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 it <br /> <br />***************************************************************** <br /> <br />OTHER ~ K"",o'/V\ -~r\fVloJ.'\ <br />SIGNAT'~# <br /> <br />COMPANY ~'f~~ {2.,6~jLJ <br />STATE CERT OR REGIST # &cl.. IS;).jS-0r <br />