Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8R St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br />PASCO P~RMll S~IfICE <br />PHONE CONTACT FOR PERMITTING r - '6(q(q - g).L{ - 7 g <1 Lf <br /> <br />OWNER'S NAME E I~/)\f I - ().JJd <br />JOB ADDRESS JlJ I J PlJ f'LIe <br /></ <br /> <br />LJa.iJ /1J <br />()1 ,if <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT (S) ~()() BLOCK <br />PARCEL ID # 02LJ - ~.,J./- dUJd - OOaJ)- o1<kXJ <br /> <br />SUBDIVISION7Je lJ~r'tf/cI /i;/~ <br />,€P- RAld/'>{- <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />Jlx./tN:! rOJf a A-cI I'.f'p!t.?ce <br /> <br />. . <br /> <br />J/I/J(.j / tvl/l abu <br />v <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 />~ <br /> <br />/ <br /> <br />PERMITS REQUESTED <br /> <br />~ BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />t/ !eX. ()) <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />~SJ'tl {';'.- <br /> <br />e"C':";" '''''''''''';F''':':''"m0'''c"""R,'--:'';'':'S' "~""C' J;D":J:'a"mtlll"'" <br />, '. -: ',' ,-f" .... . , ~ -" ." <br />~. " f.' ," .' 3: '" '. ~.. . .-:'. . '~":,:' ,:;: <br />1..-," ,._,," .'.:.:.:..'.;'......,...'.:......'c.;,...,..,.... ....._ ,_,- <br /> <br />-SZ. )-c COMPANY ,k"PA <br /> <br />I{~/ . ~~j <br />../ <br /> <br />u/Jl//rl.L <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />( ~~flJ-- <br /> <br />STATE CERT OR-~EGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <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 />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />