Laserfiche WebLink
<br />1. <br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI,LDING DEPARTMENT 5335 8TH St, Zephyrhills, FI. 33542 <br />I 813-780-0020 FAX: 813-780-0021 <br />DATE RECE IVED <br /> <br />I PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />PHONE: <br /> <br />JOB ADDRESS &;5:;)(') <br /> <br />,ro4 R/'/lJ.3 Rd. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 03 -:J. (P - ell C'OtJO - O/~06 ~ C>{)OO <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />DSIGN <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />Ii COMMERCIAL <br /> <br />o ADDITION <br /> <br />/OBTAIN FROM PROPERTY,TAX NOTICE\ <br />~ALTERATION o REPAIR 0 INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Of OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br />IltSC:.. e!ed/&:u/ tDtJtck. <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 />o BUILDING <br />~ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />,,v <br />r -:/- <br />/99:)-y><- <br />, , <br /> <br />PERMITS REQUESTED <br /> <br />lOt) <br />Sea" :-Ce <br />stble~ -- <br />$ <br /> <br />VALWATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE ~ Progress Energy 0 W.R.E.C. <br />/s e)(;si~ put- feedeR. c~(lu~:hte~ /- S"<<.6 paN~/ j a..e. ieetJ <br />/AJe qlte.. /NS.falt~y New .:n(.6--,.Ptllle)/ feeJvc c6I'Jclu(f~t<:..s .i s ;;YA/s_ <br />VALUATION OF MECHANCIAL INSTALLATION ~ CaR... I;Pt (...,:ec,^~ <br />lJ - (Ju;tI~ I <br /> <br />o OTHER <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <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 AREAO YES 0 NO <br /> <br />t',;~~,..,.---~,.- -".-~,...,.....~, - ~ ~___--r-~"_..~~_"_ -,~....,_" 'r~~ -- - ---....,~-,........~ ~- --- ~ - - ~ ~.-.. ... N -~, - ... ~--.--- t--~~t;''''I'~'' <br />WI: ,I r I [ 'T' 1, J I I, i; ; r , !l I I j , _~ ,I, ,-;' 1 l,i It" <br />f~L..:.l__~......:.....~~~.:=_~~..--o.~'-.....~__.... ___~-,-----I~ _.......J._~t__,__~~~~_ __ ~_ _ ~__~_.. ~_~_ ____~________ ___!....-........~ T ~ "'"!J ~ . <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN /7~ /! .' /' COMPANyAtekmw.ce ~~~/;~;;'r1, <br />SIGNAT"RE.~~ ~ STiTE CERT OR REGIST t .' <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 />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />