Laserfiche WebLink
<br />I I <br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI'LDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-Q021 <br /> <br />DATE RECEIVED <br /> <br />6-;l7-!)~ <br /> <br />J~~/)J <br /> <br />PHONE CONTACT FOR PERMITTING (8/3) g<fo -1885' <br /> <br />PARCE.L ID # <br />WORK pRlOPSE.D: }d'NE.W CONSTRUCTION <br /> <br /> <br />PHONE 81 ~ - ?6 9 - 5".;;'7 '7 <br /> <br />OWNE.R'S NAME fA S /lome <br /> <br />JOB APoiRE S S <br />LEGAL OESCRIPTION: <br /> <br />SUBDIVISION GIt.i'9,vo ~I!'j:. "";<,wHot71~.s <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />D INSTALL <br /> <br /> D SIGN OMOVE D DEMOLISH <br /> USE: DSGL FAMILY ~ '10w,vilo,-nf',s D# OF D MOBILE <br />PRO PO SlED DWELLING :w.gLTI PPdHLY. UNITS HOM <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />D.scar~TION 0" WORK "10 wAJ flamES rnod~ ~ I ~<;~ <br />BUILDING SIZE SQUARE FOOTAGE ~ HEIGHT 21 ' <br /> <br />RESIDE~TIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMEaCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />IF SjGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ BUILD1NG <br /> <br /><1Cf l 7 m/IJ PERMITS REQUESTED <br />'~K.. J}~ ,j- VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br />D PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />~ Progress Energy 0 <br /> <br />W,R.E,C, <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />$ 3 \ 3 ao,"'- VALUATION OF .MECHANCIAL INSTALLATION <br />o SPECIALTY 0 OTHER <br /> <br />TYPE Oil' CONSTRUCTION: QI BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISH~D FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY tt S' #om'E C!I!)/-c.r- LEIV/V1?/l- <br />STATE CERT OR REGIST # CB C I :; 5;;2 C/ :2 ~ <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />'LECtRtCIAN~ <br />. ' #' <br />SIGNATWRE ~"5' <br /> <br />COMPANY .:T13 c C C-r:C"1' t'! I G () r: "7t9mr" <br />STATE CERT OR REGIST # EC 1300/98 b <br /> <br />****************************************************************** <br /> <br />:::::RE KV <br />,/ <br />7if* * * * * . ~..* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *.* <br />MECHAN CAL ~ COMPANY A S-rEf2/II//tf- SrOA/& <br /> <br />SIGNJt.T REI. o::;:::a t --. STATE CERT OR REGIST # C I'l COSO '-/10 <br />~ <br /> <br />COMPANY 1l~1"fI(/11.. S'cfiLFH7"Al <br />STATE CERT OR REGIST # ere 0 l./ / ? ;<, / <br /> <br />***************************************************************** <br /> <br />SIGNAT RE <br /> <br /> <br />COMPANY C. S-rl?~I-/A,j?- <br />STATE CERT' OF, REGIST # eee 0 5199 / <br /> <br />OTHEJi <br /> <br />/ <br />