Laserfiche WebLink
<br />APPLICATION FOR PERl'l'IT <br />CITY OF ZEPHYRlIILLS <br />BUILDING DEPARTl'1ENT <br /> <br />, .. <br /> <br />APPLICANT ~at Pomp <br /> <br />, . ;.~' . <br /> <br />PHONE 7'83-3682 <br /> <br />ADDRESS <br /> <br />38038 7th Avenue <br /> <br />OWNER <br /> <br />'. <br /> <br />Same <br /> <br />JOB LOCATION <br /> <br />Same <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. t~ <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />____Sign <br /> <br />_Hove <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: <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 FORNS., 1d, <br />**COPY OF CONTRACT REQUIRED. <br /> <br />J?F.RMTTS 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 />_H.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />...xL-PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />____Frame _Steel <br />I' <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />~ONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration n <br />****************************************** <br /> <br />BUTT.DER <br /> <br />Si!!nature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration U <br />****************************************** <br /> <br />ELECTRTCTAN <br /> <br />PLUMBER RrllC'P r..<1rri g.<1n "Illllmhing . Company. Bruce Carrigan Plumbing <br />~ /1., .-. ~ State Cert. or Regist. "B.E'=0018R4? <br />Signature tLr-~ en City License Registration iF 29 <br />~ * * * ** * ****** *** * **.****~,*** * 1, ,', ,', 1, 1,,~ ,', 1, * 'I, *,~ ,', <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration ~ <br />****************************************** <br /> <br />MECHAN1CA1. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration n <br /> <br />OTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />****************************************** <br /> <br />11 ~M'<1 ;.y ~AA^'V . <br /> <br />PERtlIT OFFICER. <br />