Laserfiche WebLink
<br />APPLICATION FOR PEIDlIT <br />CITY OF ZEPHYRHILLS <br />_ &UlUJING DEPARTMENT <br /> <br />;1~J / <br />APPLICANT " /)f'/t-.. /' ---!-' ' <br /> <br />ADDRESS a 1?1 - ~~ J) < , I~ <L-vf. ~ <br /> <br />PHONE 1 yJ - .1--- f/ Y 3 <br /> <br />OWNER <br /> <br />JOB LOCATION <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.~~ J - ;;2 b - b2-/ - I/J - 0 <br />WORK PROPOSED:____New Construction i~A~dition ____Alteration ~Repair ____Install <br /> <br />____Sign/Temp. ____Sign _Hove ____Demolish <br />PROPOSED USE: 1L-single Family _M/F ____~~ of Units ,_____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 />5? <br /> <br />xJ:L , <br />. <br /> <br />Square Feet, <br /> <br />,J ~i-t, <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 FORt1S,** <br />**COPY OF CONTRACT REQUIRED, <br /> <br />pERMITS REOtJESTED <br /> <br />~. <br />____BUILDING <br /> <br />$ <br /> <br />;l>cHJ'cJ-() <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 />~ONTRACTOR 0ECTION <br />Company <br />State Cert. or Rcgist. ~ <br />City License Registration a <br />****************************************** <br /> <br />nUILDER <br /> <br />Signature <br /> <br />SiO'nature <br /> <br />Company <br />State Cert. or Regist. a <br />City License Registration 11 <br />****************************************** <br /> <br />f.T ,E\,TR1 \,1 AN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. a <br />City License Registration 11 <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. a <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAT. <br /> <br />OTHER <br /> <br />it] A IV\ () /I.. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. a <br />City License Registration a <br /> <br />APPLICATION APPROVED BY <br /> <br />***************~~************************ <br />)11'"f /j1 .If l' . 5\: J/l_.d'>~ r , <br /> <br />PERMIT OFnCER. <br />