Laserfiche WebLink
<br />APPLICATION FOR PERNI.T <br />CITY OF ZEPHYRllILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />OWNER <br /> <br />'. <br /> <br />JOB LOCATION <br /> <br />LOT SIZE <br /> <br />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 /> <br />____Sign <br /> <br />_Hove <br /> <br />_Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />____M/F <br /> <br />_t~ of lIni 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 & (l) SET ENERGY FORHS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />EERMTTS 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 /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING <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. 0 <br />City License Registration U <br />****************************************** <br /> <br />mlTLDER <br /> <br />Sianature <br /> <br />Company <br />State Cert. or Regist. U <br />City License Registration U <br />****************************************** <br /> <br />f.T .ECTRT CT AN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 1! <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 0 <br />****************************************** <br /> <br />MECHAN1CAT. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 0 <br /> <br />OTHER <br /> <br />~*)***********~~************************** <br />APPLICATI~~~D. B BYY.. A{) A/l.kA(j S. cVl/c\~ . <br />.i .~ <br /> <br />PERMIT OFFICER. <br /> <br />1~."t.J "8 :iAjJ AMi <br />. ... ,',.;;1 to 31&1.;> <br />. -. ., ." >C .qx] I1l~J'j \ '. <br /> <br />