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 />DATE RECE IVED <br /> <br />1'-' '/- () fe <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER' S NAM~JeAl))e'.s <br />JOB ADDRESS S} O~ <br /> <br />L-<- <- <br />/7t-~ <br /> <br />lJ,~ J {,'~ s. <br />/<31- LefJh)~J.J.'tl.s <br />BLOCK 2 c.'L SUBDIVISION C ,'-I-( of 2-.etfo/ ftl!.ylS <br />01 <::J 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PHONE <br /> <br />(=z~ <br /> <br />~ /3(-7/4-0 'Y7?' <br />---=.,:::,,:"-"_......~..---" <br /> <br />3 3sV '?- <br /> <br />LEGAL DESCRI PTION: LOT (S) J:J i {"\ <br />PARCEL ID # 1/- 2.Cc- 2/- co/ c - 2. o'LOO- <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />OSIGN <br /> <br />~DDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK -Act:f/,()1 A- CJ74U.7~ <br />BUILDING SI ZE .:J 7 >l " f... L.(? ( SQUARE FOOTAGE l::l q (, <br /> <br />HEIGHT <br /> <br />10' <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ :~O 1~.i\. ~. fro <br /> <br />~4Iulo\..t..:>P <br /> <br />$ dO,COo.OD <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. J <br /> .,JOe- <br /> <br />PERMITS REQUESTED <br /> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />E ECTRICAL <br />~JMBING <br />Y#NICAL <br />o GAS 0 ROOFING <br /> <br />AMP SERVICE <br /> <br />wr Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <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 />SIGNATURE <br /> <br />~~~~ ~f- <br /> <br />3)z-, <br />.' C)f'i <br />U"J..c. >-- /'-- / .~ <br /> <br />COMPANY <br /> <br />BunDER <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br /> <br />ELECTRICIAN \'\ "' J ('-:: "'1"1. <JO COMPANY vQ 0J7.v,) <br />SIGNATURE V~ '-'-"--..1, ( iJ-;--z k.,z .....~ STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COM NY <br />11/'/1- STATE CER'OR REGIST # <br />. ,..~,~" ------- <br /> <br />*************************************************;~ ************ <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />Jill- <br /> <br />f f <br /> <br />COMPANY <br /> <br /> <br />" <br /> <br />MECHANICAL <br /> <br />******************************** <br /> <br /> <br />STAT ERT OR REGIST #"..... <br />~ <br /> <br />*******************************, <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNI\TURE <br /> <br />STATE CERT OR REGIST # <br />