Laserfiche WebLink
<br />. <br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI:LDING DEPARTMENT 5335 8~R St, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX: 813-780-0021 <br />, DATE RECEIVED <br />, <br />! <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PARCEL ID # <br /> <br />/~ 'lltb\ <br />vt <br />U <br />s S- r d- S- - )./- Old. 0 -- c/ - 0 t to <br /> <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />7bO <br /> <br />(lJ vi t <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION d f05 <br /> <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR ~NSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />S~ f\Nl\e\s <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 />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />,Jd'PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <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 AREAO YES 0 NO <br /> <br />1~1'!fl~.;;""",.,,~;r"t""'~'-~~"71_""""~-r'tt!1""'--"-:-~=~""""'~''''''' "'i~rr'1"'i~ ~- --~'-'----'-"--~ --~ - -~ l~j-~~'-"'",""n-f!tl"""""""H~~T-"~'~~-"."t'''I'''~Tm:l.=:;sJF.:;;l!t1i1rn[1!rm;;Jp,''1fr, <br />\~;j:te;:{lt/~ rl tl~l:< t '11rr1~,I, ./:T"~J j~llf':,I:" ,it 11' I: 11 1 ~ , ,j ~ l,,~...l'''/~~ 'It .~'1~I' JI ljl'W~l"l~:"-'-~(,:'\J;I~*~~~t:!~itT::llf~~ <br />J!irL~,!,lJ ,f:'~lltlf:J t l~Y l 'jl1-;'~',f ~l ! ,j,Jmr.j ", ,j '," ~ ~ f ~ ,1;._ 'I ~,t j ,tj_~ . j^ ",l~ 'I j I ,~1!_~.~~,~~ l " <br />~...t:.~..__~~_......:.~....._.....~_..,.""",-~_1.................-._.J.~._....ll.-.L..._~~~- ----~-._--~~~~~--..-~ '"" ~ <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 />~~, <br /> <br />COMPAN~'M~r\c,a~ ::\=cr \S <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <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 />