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 />OWNER'S NAMEO /4 n c} H 6 riZo,'J <br /> <br />JOB ADDRESS~ 1!i3i [II!!; g~d. <br /> <br />~, <br />[of 2'1 'I <br /> <br />PHONE <br /> <br />3 (q <br />7rst - 225"8 <br />788 ~Y"l a <br />~JJ' 7JJF- 2-2r-g <br />7fj8 -,)'1'-1 0 <br /> <br />DATE RECEIVED <br />PHONE GONTACT FOR PERMITTING~I <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL 10 # 3~' 25. 21 ,OJ 7D -()()()()() - z'-Itf 0 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTROCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />~NSTALL <br /> <br />o SIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Djf OF UNITS <br />o SWIMMING POOL <br /> <br />D-MOBILE HOME <br />o OTHER <br /> <br />CJ RESTAURANT <br /> <br />DESCRIPTION OF WORK rnobde, hOYYle~ <br />2 7~"I.tJ <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />5e} -u-p <br /> <br />BUILDING SIZE <br /> <br />SQGJARE 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 />3D 000. is D <br />I <br />-' <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 /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <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 /> <br />BUILDER COMPANY <br />SIGNATURE ~/'-'~~~! ;::::::--..... STATE CERT OR REGIST # <br />............~...............................,.................. <br />COMPANY ;), (~ <br /> <br />ELECTRICIAN <br />~---- <br />SIGNATURE~~..d Y -~ ~ STATE CERT OR REGIST j <br />****************************************************************** <br /> <br />~ <br /> <br />PLUMBER '_ COMPANY 8 LA -f-fuh- t) 4 <br />SIGNATURE V ~ STATE eERT OR REGIST I <br /> <br />*******************************************/1::******************* <br />MECHANICAL COMPANY ~ <br /> <br />SIGNATURE~~~ ~~~} STATE CERT OR REGIST # <br /> <br />****::*~*~****~************************************************* <br /> <br />(~ <br /> <br />@ <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />