Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING.. DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />S.~Ob <br />DATl!~ RECEIVED <br />r1 A t2Yt N 21MtYl€. ({'("\IV) <br />PERMrrTING ::re(("'i ~ 1\13j-- <br /> <br />OWNER'S NAME ~ QI r1A~ <br />JOB ADDRESS .Lj 0'1 20 <br /> <br />LAl2--e..- ~ OL\.{T(()'\J S. <br />V:f ~ ~ L~ A"z.. <br /> <br />PHONE <br /> <br />gJ 3 - 77y,.72'1.1o <br />f-L 3~'-I3 <br /> <br />2 E.P (J Y e. H ilLi 1 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # \ ~- 2 <a- d-.d. - 00 Ol.O - 0060b- 00 \ A <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />lxI-ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~COMMERCIAL <br /> <br />DMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />)( ~CJ ~~~ U ~ ~~. <br />SddARE FOOTAGE . <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <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 />~. BUILDING <br />'~ ELECTRICAL <br /> <br />$23 'l~ t. 9.2 <br />, <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy [] <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <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 />~ 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 />SIGNATURE <br /> <br />~ COMPANY <br />IV' /4 ~;: Jf/~STATE CERT <br />, <br /> <br />BUILDER <br /> <br />OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIANX~. ~~ <br />SIGNATURE ..~~ 7: /f l~ <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # )( <br /> <br />*******************************************************~,********** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />*******************************************************k********* <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />