|
<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUI:LDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
<br />I 813-780-0020 FAX: 813-780-0021
<br />" DATE RECE IVED
<br />
<br />/
<br />dh:107.p
<br />
<br />PHONE CONTACT FOR PERMITTING
<br />
<br />LEGAL DESCRIPTION: LOT(S)
<br />
<br />1-\0 M (,-'5.
<br />efG\...CL rJt V: \~t
<br />
<br />'3
<br />
<br />PARCEL 10 # "SS r J. ') ,...).\ - 0 \~ 0 ~ of .-- 60 5G
<br />
<br />OWNER'S NAME
<br />
<br />
<br />PHONE
<br />
<br />JOB ADDRESS
<br />
<br />c.~ ( vl[
<br />
<br />BLOCK
<br />
<br />SUBDIVISIONC-( a-hll t;v' H- S'"
<br />
<br />(OBTAIN FROM PROPERTY.TAX NOTICEl
<br />
<br />WORK PROPSED: [JNEW CONSTRUCTION
<br />Os I GN
<br />PROPOSED USE: [JSGL FAMILY DWELLING
<br />o COMMERCIAL
<br />
<br />o ADDITION
<br />
<br />o ALTERATION
<br />
<br />o REPAIR
<br />
<br />~NSTALL
<br />
<br />DMOVE
<br />
<br />D DEMOLISH
<br />
<br />DMULTI-FAMILY
<br />o INDUSTRIAL
<br />
<br />[J # 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 />~ ~rl~U t--\~
<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 />0 BUILDING $ , tJ75b . C5D VALUATION OF TOTAL CONSTRUCTION
<br />D ELECTRICAL AMP SERVICE D Progress Energy D W.R.E.C.
<br />~UMBING
<br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION
<br />o GAS o ROOFING 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 D NO
<br />
<br />1I~::n'f;II~''''''''''''~''''''l''''' "--,.-'"..,""....,.,,,..T-....,,~'er-...,..,~N_l'^'''~~.~t.. - "l-'.l~--- ~---- - - ~,~" f' t;'~--~~l -....-.~~--tr~"~-,..-....~~-'!i"~"..,..",.....~"!l"'1I~rt!'!''1P''''t
<br />t f"'IJ;~~~):\l~I!{II(~, 'II;"' > :'J i ;,r" f,/ I,'!! J , l' /. ,11 ~ II t ", It L;;?t j'-rr..,, I :} j ,'-~ ;Ij I 11 "; i5 \ ',ro;..~J~1~~~'1~
<br />3it(jLI,Jt,'rij!jl,~ttMl, ,I'l,~(,t"jt-rl:~ 1" ,'tt.t,1 '"I ,)"" ' , +\c't_~"t~ ,_ : J'~' I 1':,!J~I!l~t~8"
<br />o!..~.......~.,:J.'-.....~_~~..__.;.:.J._..,..._""_,,,~.......~~_.............:.w..........~_____~_____ ----- ~~--
<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 ~.-M
<br />
<br />SIGNATURE ~
<br />\
<br />
<br />COMPAN~M:f %\ (l..4~:=::r< r~
<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 />
|