Laserfiche WebLink
<br />11 <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~".. ~ <br />.. ...~. ~f <br />APPLICANT ~d.' <br />ADDRESS ,3 ~~ .... ii'~PHONE 7cfj ~o cfk, <br />/) ;rT 11} 8 E It) J-. fH_!'< A-I? D <br />983 yt, If re f\-LI <br /> <br />OWNER <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />LOT SIZE X AREA SQ. FT. <br />SUBDIVISION . 'VJS <br /> <br />JOB LOCATION <br /> <br />PARCEL I. D. ~1 -, 1- l.b - 2{ _tH) I V -- 02 ~ 00 -" 20 \ <br />WORK PROPOSED:____New Construction ----Addition ~lteration ~epair ____Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />~/F <br /> <br />_41 of Units <br /> <br />~/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />." ____Restaurant & Health .Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ f'flt-L. ~ <br /> <br />Valuation of Total Construction <br /> <br />, ' <br /> <br />_ELECTRICAL <br />~ECHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />17"'{;;) : :!!- <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING <br /> <br />~ <br /> <br />.' , <br /> <br />GAS ' <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />~.~ CkcV1~~-' .:---t-. (tiv\~r~jcYL <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />SilZnature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />F.T.F.CTRTCTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration ~1 _ <br />****************************************** <br /> <br />PLUMBF.R <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />fflcJ-I M 0 yfvr,..612 <br />. <br /> <br />Signature <br /> <br />Company (1.1/(> c.. u KI rt? Q 1.. ..f' tJ <br />State Cert. or Regist. ~~ C I~C: 0 3../'1.f 'Jt <br />~/!'/ .&- City License Registration 41 ~\ <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # _ <br /> <br />OTHER <br /> <br />Signature <br /> <br />***************************************~** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br /> <br />" <br />