Laserfiche WebLink
<br />ADDRESS <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />C~ ~r1 e sma 00( y <br />S-l1 "-/0 I c; LA- 5T <br /> <br />PHONE <br /> <br />erl'v'(t'T <br />Q' 'irJ- - 7 'if Yy <br /> <br />APPLICANT <br /> <br />OWNER <br /> <br />'. <br /> <br />JOB LOCATION <br /> <br />.5PM e <br /> <br />u5 <br /> <br />Afjove <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. ~~ <br /> <br />~' <br />____Repair <br /> <br />____Install <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_Hove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____t~ 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 />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />____MECHANICAL <br />~LUMBING <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />.'" . <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. ff <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />f,LECTRTCIAN <br /> <br />. PLUMBER <br /> <br />x <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. tF <br />City License Registration a <br />****************************************** <br /> <br />MECHANICAl. <br /> <br />Signature <br /> <br />OTHER Rtf!:fU old ~'~1 <br />Signature ~va. ~-<'.ro-c& - <br />~ <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br /> <br />APPLICATION APPROVED BY <br /> <br />*)V7*********~~************************ <br />_ . /7 A1 ~ g /} -dl/\ -:r- . <br /> <br />PERMIT OFFICER. <br />