Laserfiche WebLink
<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-Q021 <br /> <br />DATE RECEIVED <br /> <br />~-2-()1 <br /> <br />PHONE CONTACT FOR PEFMITTINGJff'2-.6--t,7-~122.j <br /> <br />OWNER' S ~AME <br /> <br />::; ,\ X f l' b-t u- AI dJl V <br />:3 Y 30 3 AI fJ f/~ · <br /> <br />~!-- C2 PHONE 7 1 7 ~ 7 t;; 7 <br />'2 Z3 fJ tf ce cr A ," t ( ~ F ( I <br /> <br /> <br />JOB ADD <br /> <br />CRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I # tJ.{/.- r:2t- ..:21-00~-oolltJo-tJ~D <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />ONEW CONSTRUCTION o ADDITION OALTERATION o REPAIR Ql INSTALL <br />OS IGN o MOVE 0 DEMOLISH <br />USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br />o COMMERC IAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPT ON OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />I( "1 c/t~ jtfd~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br /> <br />$ ~ 'i?oo <br /> <br />... <br />PERMITS REQUESTED . <br />Ilt.l g .j:if3 (}II/~N ""'TD ;::: rn . <br />VALUATION OF TOTAL CONSTRUCTION Fo.-e I!J;vlE't.:). ,t?6!5 <br /> <br /> <br />RESIDENT AL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLAN <br />COMMERC AL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENE <br />IF SIG PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTI <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBIN <br /> <br />, <br /> <br />)I?:l.. MECHANI ~AL $ <br />o GAS ROOFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />TYPE OF ONSTRUCTION: 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 AREAD YES 0 NO <br /> <br />CQN~c::~~iSEC::TION <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATU <br /> <br />STATE CERT OR REGIST # <br /> <br /> <br />SIGNATURjE <br /> <br />'~************************************************************ <br /> <br /> <br />COMPANyi /' > c7/t//lrV/ <br /> <br />~~-- STATE CERT OR REGIST # <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATU <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATU <br /> <br />*******************************************************~********** <br /> <br />~ COMPANY :; 0 11/1--''-1 -5 <br />~<?@ STATE CERT OR REGIST # 1{fY\ dO / n ~ / <br /> <br />ME CHAN I <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATU E <br /> <br />STATE CERT OR REGIST # <br />