Laserfiche WebLink
<br />r <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT /<//l-1(ltDt:::= ~A Y <br />ADDRESS 4~/3 'KC>L(IAJS'S-t <br /> <br />~.4 /2f; fI J4- L { <br /> <br />LEI (3 u0DtJ) <br />?~/~-~'31~ <br /> <br />PHONE <br /> <br />OWNER h1 H-KI tv E <br /> <br />LJ1'1 <br /> <br />JOB LOCATIONtf gT:) l'<D(Ll~ "" <br /> <br />BLOCK <br /> <br />LOT SIZE_____X AREA SQ. FT. <br />SUBDIVISION k) 111.:)1 Elh. 11-("h;tt:=~ Me Pfl,I't- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL I.D.f~/4-:J..(~-;)! --0000- OOZt"JD-- 60DO <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ---.-Repair V Install <br /> ____Sign/Temp. _Sign _Nove --l::::::::D em 0 li s h <br />PROPOSED USE: ____Single Family __M/F _# of Units __M/H <br /> _Commercial ____Indust. ____Swim. Pool Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t, <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 FOR}IS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ ~ ~ O(), 0 '0 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_H.R.E.C. <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBIN'G <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br />)j.Vt) C'owellrt <br />fJL()~~v")1.A I Other t/fIZ!1JI"2-1 <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Block <br /> <br />_Frame ____Steel <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <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 />ET .ECTRT CT AN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 0 <br />****************************************** <br /> <br />Si!!nature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br />*******+************************~********* <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. n <br />City License Re.~is~ratioll IF <br /> <br />. . <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />"Tf:RMIT OFFICER. <br /> <br />;. I <br /> <br />, : <br />