Laserfiche WebLink
<br />APPLICATION FOR PER!'IIT <br />CITY OF ZEPIIYRHILLS <br />BUILDING DEPARTHENT <br /> <br />, " <br /> <br />APPLICANT :$'\...). ~ ~cS'\lf-:.... <br />ADDRESS <br /> <br />'~~ <br /> <br />OWNER <br /> <br />~I-S -:2-- <t'') S"\ ~ <br /> <br />I;:Ll-\ crt- Q- ~ \ ~LLb'::J <br />5"?:> ""5"'L. <br /> <br />...j.,'" <br />5-f' . ""2\..\ \ \... "-'~ <br />~S'-~ <br /> <br />PHONE <br /> <br />(~\ -3. \ I~<{<" -1 ~lj<B <br /> <br />" <br /> <br />JOB LOCATION <br /> <br />\~~ <br /> <br />'""'S\ <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. ~t <br /> <br />WORK PROPOSED:~New Construction ~Addition _Alteration ____Hepair ____Install <br /> <br />____Sign/Temp. <br /> <br />_Sign <br /> <br />____Hove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />~M/F <br /> <br />_~t of Units <br /> <br />,._H/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br />,) <br />BUILDING SIZE: \ ~ X l S , Square Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.*"-" <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />VBUILDING <br /> <br />$~7HJ,dU <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 <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br /> <br />CONTRACTOR SECTION <br />Company ~~ ~~ ~L,u""",", <br />State Cert. or Rcgist. lj <br />,Q. C City License Registration;; " <br />****************************************** <br /> <br />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Regist, n <br />City License Registration ;; <br />****************************************** <br /> <br />Si<:>nature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ff <br />City License Registration ;F <br /> <br />OTHF.R <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY ~::~*~*:~:~~.*.**~*.********'*' <br /> <br />PER1'llT OFFICER. <br />