Laserfiche WebLink
<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI1'LDING DEPARTMENT 5335 8TH St, Zephyrhills, Fl, 33542 ....'- 2 Lr (), <br />. 813-780-0020 FAX: 813-780-0021 <br />I DA~rE RECE IVED <br /> <br />I PHONE CONTACT FOR PERMITTING '71 ~~ I ~ d- 0 <br /> <br />OWNER' S NAM~II' n"" N. e t'_1 <br />JOB ADDRESS ZepJ1yr. R~za <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />(iC8 ))LLAs) <br />5953 ~~fl Blvd <br /> <br />0/3- Itp 'HJ <br />PHONE ~ I~~ -, =- - f <br />ZH rL 33)-l/.:L <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />l 0 ~ a (Q - (). \ - bQ(1O- tfXJX) .'" Ob?JD <br /> <br />{OBTAIN FROM PROPERTY.TAX NOTICE! <br /> <br />WORK PROPSED: QDNEW CONSTRUCTION <br />o SIGN <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~ COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J REST.~URANT &.HEALTH DEPARTM~~T_APrROVAL <br />f! 1K:.f.C!ft F'fl.:' CD I a, /I-e 1~J4' mcK5.~ , . <br />1Ld..~-h. O'W I X /I C o,ll?rl.-Ic"tAd I ().II Jku.J.J W IY~I'(\ <br /> <br /> <br />r- <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />! ~"-I <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 />~. BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ ,;2100.00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <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 AREAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST It C I~C I d- '5 dO{.):} <br /> <br />. . <br />****D~Z*****d'"*~Z*** /*~********~~*****************k**.********* <br />\.,0, \\ ~\)~ ',n ,\) . ~l\ <br />ws,<0" ELECTRICIAN v ' '- t'J COMPANY \"'0("~ E lQc::..+v\.c- <br />~o/ /....[./ ~s <br />SIGNATURE G~~ ~~J x5 STATE CERT OR REGIST It <br /> <br />** * * *** *** * * * * * * ** * * * * * ** * * * * * **"6~ ** * * ** * ** * ***** ** *** ** ***** * *.** <br />~r (~25~~M <br /> <br />PLUMBER,? /l / ---L/ /J /1. /' <"J.t COMPANY Chn~ ~r PI~~~)~il~ <br />SIGNATURE~ STATE CERT OR REGIST I <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 />