Laserfiche WebLink
<br />~- <br /> <br />-- <br /> <br />V\~-- <br /> <br />--- <br /> <br />,.-- <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT b1 e Ie N ~~ \'VI ~ l "i""O JJ <br />ADDRESS 5"r J. 5 / 7 ~ STR-ee\ <br />OWNER lie/eN /-IR--w1llroN <br />JOB LOCATION58t5 /9 ~ S;I, 2elfry~AI//5 <br />LEGAL DESCRIPTION: LOT (S) I, ~ /fAlcl 3 BLOCK 74- <br />. <br /> <br />~CEL I. D. ~~jl::-.2 6 -; /-00 I(J -074- Qa -Od /0 <br /> <br />PHON(8IJJ J?:L - 7 J;2 C? <br /> <br />LOT SIZE I/O x 90 AREA SQ.FT.lt t;oa <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED:____New Construction ____Addition <br /> <br />____Alteration <br /> <br />____Repair <br /> <br />~tall <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~~e Family <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />____M/F <br /> <br />____t~ of Uni ts <br /> <br />,____M / H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: 11 X 3 1 , <br /> <br />bb~ <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PF.RMITS REOUESTED <br /> <br />~UILDING <br />7;:ECTRICAL <br /> <br />$ <br /> <br />9S0'.fw t!!!- <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />. <br />_PLUMBING <br /> <br />.'" , <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />, <br /> <br />_Frame ____Steelr/6~1t~S Other <br />;J:J.J'i (;'<I-"d fJ(jdL <br />FT, <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />BUILDER.h',(A/Q I J <br /> <br />********~******************************** . <br />. CONTRACTOR SE(,~JN .11 ~ -' . <br />/J1q Ji-tL' 5 ,Company ~ ~//I, ~ ;:-1 ~ e-~~~~S ..:?^-S7t. *7lfW~ <br />~ ... StateCert. or Regist. iF~c!"',4LI...QIR" <br />Signature~~ .,r"~ City License Registration # <br />****************************************** <br /> <br />F.LF.CTRTCIANO A 4,4. /eo:;- Ih .pfJ/J1 nAi Company COliS;- ,{ ,1'-'.t2 E/e<!-,~' c Xi\A! <br />./4 df; State Cert. or Regist. # 6"~ 000 fl'l39 <br />Sillllatur~~.J '.I!~ City License Registration # _ /9/ <br />***************************************** <br /> <br />F. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 4F . <br />****************************************** <br /> <br />PLUMBF.R <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 4F <br />****************************************** <br /> <br />MECHANICAl. <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />APPLI0ATION APPROVED BY <br />U"lC'. ., i, <br />frO,,,! ~ , <br />.. '.,.__J_........'_..""..."."""",~, ""., .."'~_i.,.,.. _~'__..., <br /> <br />* ****,-:.* ******* * ** *~* * ******* *,~: *,*,* *" * * * * * * <br /> <br />LA /',,/U -- A ( ,~~...,. <br /> <br />PERMIT OFFICER. <br />