Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 eTH St, Zephyrhills, FL 33542 <br />813-780~0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME :::Dl7u.JIC~ ur~.f!a_ <br />JOB ADDRESS 3/1;;6'7 J2~cY)rJ <br />LEGAL DESCRIPTION: LOT (S) L;g <br /> <br />PHONE <br /> <br />g15 - )8) - III C; <br /> <br />LLJ <br />, <br /> <br />~ .~ <br />, , <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # i3--J.u;- .;Jl- 6/yO - (")ooc:>o - C><tli 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />, WORK PROPSED: 0 NEW CONSTRUCTIO~ <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />~EPAIR <br /> <br />~NSTALL <br /> <br />OSIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# .OF UNITS <br />OSWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~e. ~oi <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 & (I) 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 />$ SlaJ, C70 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />, AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL $ <br />o GAS ~OFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 FLpOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br />~~-_-t';]~~--~--pt----------'-~I-'='-~~~ - : :m:r <br />:~~ 1';~II~(j~)'rjl~I'i t'~\III,IJ,d'\ ',',\\ J/"IJHII-I:l~ i,l i I '; ij~i(/n'll. '1"~I~:,-r.rJ1rlf/~~(~lIV/~lj~~;1 r~~~:r'l"r't~[J"~ ~i <.111;~~,,:~j'l ~i <br />iill-l ~J~ ~~.' 1'1.\ {.:: j:Y.l.,. ~,:Ir;,II:~,:..,hj I I 1:"\.1,'-1", ~I <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 GERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />.. <br />****************************************************************** <br /> <br />MECRANICAL <br /> <br />, COMPANY <br /> <br />" <br /> <br />SIGNATURE <br /> <br />I ,., 0- <br />***************************************************************** <br /> <br />STATE CERT OR REGIST # <br /> <br />::::.~I'. <br /> <br />COMPANY tIJ xuu, L.y:y <br />STATE CERT OR REGIST # Cel; Is:Jj;rOj~ <br />