Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />JOB LOCATION LOT SIZE_____X AREA SQ. FT. <br />LEGAL DESCRIPTION: LOT (S) BLOCK / '/ SUBDIVISION <br />PARCEL I,D.~~ / '/- ;;;~ -~2/ - '00/ U '-,. Iyo 0 - C> 0 7 0 <br /> <br /> <br />." 1 j2 <br />/ (, L, t:- ~ / ) ~ (j 1.< P /r <br />~ , / .' --..... - <br /> <br />he' 'I :22 ~ ;/ ~=3s:39 <br /> <br />PHONE ? ~F <72/ </ <br />r <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />~ <br /> <br />WORK PROPOSED:_New Construction ----Addition ----Alteration _Repair _Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_~~ of Units <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: <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 />_ELECTRICAL <br /> <br />(DO <br /> <br />valuat~Total Construction <br /> <br />AMP Service Florida Power Corp. <br /> <br />_____W.R.E.C. <br /> <br />_BUILDING <br /> <br />$ <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 /> <br />TYPE OF CONSTRUCTION: _Block _Frame _Steel <br /> <br />Other <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 />......***:::::::**~*;c<~~ ~~~ <br /> <br />I <br />State Cert. or Regist. # <br />City License Registration l~ /~ <br />. <br />* ************************************ <br /> <br />BUILDER <br /> <br />Signature <br /> <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. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />***************~*********************** <br /> <br />"-;t[ V ...-<~ o~, <br /> <br />PERMIT OFFICER. <br />