Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DEPARTMENT 5335 8~R St, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-7BO-002l ~ I~ <br />DATE RECEIVED ;:L I <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />JOB ADDRESS <br /> <br />~~~-~~j~ . <br /> <br />PHONE <br /> <br />~ rt~ Ldj <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) Qc>(O-e BLOCK ce~o SUBDIVISION ~90 <br />PARCEL ID jj: O:l-.;Lfo -.:2I-~t:;b ~.. ~ 0 (OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />OALTERAT. ION 0 REPAIR jJ INST!1LL <br />~ ~ .. ~cR ()uJ- <br />o DEMOLISH ~ <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~ERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />OF WORK ~ ~ci 0uJ- - ~~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. 2-(3/0l..::. <br />:ter ~I (Y\ -~<6 <br />d~1- ~~ ~\SW <br />~ ~O'Y"'~' <br /> <br />~ILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ECTRICAL <br /> <br />~gress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />EJ.-15LUMBING <br />~HANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />$ ~f)OOcD 0 VALUATION OF MECHANCIAL INSTALLATION <br />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 ~ <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # t::.45 ~ l~bCli /1 <br /> <br />ELECTRICIAN <br /> <br /> <br />~0-471 . ~ <br />COMPANY\) '\ \. "-' . <br />STATE CERT OR REGIST # CL-. /,300 J:S ~ .3 <br /> <br />*************************************************** <br /> <br />PLUMBER <br /> <br />/ '.J~ COMPANy~k)~~ <br /> <br />'-1 ~,~~ 'f:.... rf.r STATE CERT OR REGIST * e ~ t <f,;}.,E; loo:t.., <br /> <br />1***~ .;0-- :. H ***. H.... H *** ~~~;~;; H~~';: ~I;'s;,:; .~.t~ """ ~ <br /> <br />~ ~ '7 ~I STATE CERT OR REGIST t I{ fr 00 (<(<(,,, ( . <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />*********~******************************************************* <br /> <br />OTHER ~ <br />~ <br /> <br />COMPANY <br /> <br />'------ <br />-- <br />STATE CERT OR REGIST # ~ <br /> <br />SIGNATURE <br />