Laserfiche WebLink
<br />CI~Y OF ZEPHYRHILLS PERMLT A~~L~~A~~U~ <br />BUIILDING DEPARTMENT 5335 8TH 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 W~ tv-. cl. <br />JOB ADDRESS 'SI3'D 'ov'r- <br /> <br />-~\ , "" tV- \" ') \~ <br />~ . 'Z--f \,,-,,-~ (\-.' ~ \ ~ <br />\ <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # \\ - :J..lo- ,)\- OOIC)-03~DD-O\~() <br /> <br />/OBTAIN FROM PROPERTY.TAX NOTICE\ <br /> <br />WORK PROPSED: DNEW CONSTRUCTION o ADDITION ~ALTERATION o REPAIR o INSTALL <br /> DSIGN DMOVE 0 DEMOLISH <br />PROPOSED USE :~GL FAMILY DWELLING DMULTI-FAMILY Di OF UNITS o MOBILE HO~ <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />DESCRIPTION OF WORK L fi..~<. <;P-, 11 .Prcw-- ""ul.~J ~ i1 "Lj 010 "...1 <br />BUILDING SIZE SQUARE FOOTAGE 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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> PERMITS REQUESTED <br />D BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br />;t-ELECTRICAL 'ZOD AMP SERVICE ~ Progress Energy D W.R.E.C. <br />D PLUMBING <br />o MECHANICAL $ VALUATION OF'MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: D 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 D NO <br /> <br />L=~~-~ I~~ ~~~_~~~~~~~_~___._._~_1--=~-'~~ ~-- -=-=~_~~~~o-~_L~-L~~_~~' O' :~_I'~_o,.~~~~~:, <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY ~A~'0, &.Qdr"0 <br />STATE CERT OR REGIST i Ec... \300 I ~C)-? <br /> <br />- <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 />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br />