Laserfiche WebLink
<br />APPLICATION FOR PERI-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />CAR-l <br />(I3'-f <br /> <br />C ONL t;;;'( <br /> <br />APPLE b.A'-rc <br /> <br />~,OI\J L~ ..../ <br /> <br />APPLE~AT2 <br /> <br />PHONE <br /> <br />'7~? R- to 5"87 <br /> <br />APPLICANT <br /> <br />OWNER C-A (L L <br />JOB LOCATION~ t 3 Lf <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AEEA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK SUBDIVIS ION ALP W. A <br />OC::>S-O - 00000 - C)'20C':) <br /> <br />~ddition --Alteration _Repair <br /> <br />V'L-L~\2 <br /> <br />PARCEL 1. D. tF <br /> <br />'35- '25-2' <br /> <br />WORK PROPOSED:____New Construction <br /> <br />____Install <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />_Sign <br /> <br />_t--Iove <br /> <br />____Demolish <br /> <br />_M/F <br /> <br />_IF 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 />I <br /> <br />BUILDING SIZE: <br /> <br /><6 <br /> <br />x 2.0 , <br /> <br />\ CoO <br /> <br />Square Feet, <br /> <br />-;. <br /> <br />~I <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 FORHS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />!I- C9 <br />/ ao - <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 /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />.... . <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block ~~OFrame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br /> <br />CONTRACTOR SECTION <br />, Company Cee-AllVE E:x(€fl..IO~ ~<- <br />State Cert. or Regis t. IF---L... ~ L 0:3 3' cyz... 4- <br />Ci ty License Regis tra t ion iF '# 2. r;-:? <br />****************************************** <br /> <br />Company .::1..:d.:t'-. (c... 4. s 5 <br />State Cert. or Regist. iF E~ooil' 0-/7 <br />City License Registrat.ion iF ,c;- , <br />******************************* <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration n <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 />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />APPLICATION APPROVED BY .~;~..~~~.~;:....~*.*.*.**.*.** PERMIT OFFICER. <br />