Laserfiche WebLink
<br />r <br /> <br />(7 ; f.j- 13 ' <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT J. D /S -;) UAJ A1 / LL~f( <br />ADDRESS S/Lf/ <6 J--'(" 51 PHONE 7 <6<6' -1~ '1'1 <br /> L6/~ 'I:"i- Mr'!fr- ,e <br />OWNER iJ eq 1'\ <br />JOB LOCATION ,r;rlf-I ~-fH S r LOT SIZE_X AREA SQ. FT. <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />PARCEL 1. D. i~ <br /> <br />~lteration <br /> <br />_Repair <br /> <br />_Install <br /> <br />WORK PROPOSED:____New Construction ____Addition <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 Uni ts <br /> <br />.____H I II <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 FOR}lS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_\-l.R.E.C. <br /> <br />____HECijt.NICAL <br />$PLUMBItfG <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />____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 /> <br />BUILDER <br /> <br />Signature <br /> <br />ET.ECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration n <br />****************************************** <br /> <br />Signature <br /> <br /> <br />~~:~:n~ert(1!1:~L. ~ (f0,~rl~ <br /> <br />City License Registration iF ,')7 <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. iF <br />City License Registration 1 <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Signature <br /> <br /> <br />OTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />OFFICER. <br />