Laserfiche WebLink
<br />APPLICATION FOR PERI-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~dA'1./l/1.A.A- g.i (;UL4~ <br /> <br />:::::55 i~~: ,i).trf: ;1~ fti <br /> <br />JOB LOCATION ,~y(03::S ~ Nd (1 ~ <br /> <br />PHONE ~t;7-/5"(P I <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 I.D.~fr <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_rlove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____iffr of Uni ts <br /> <br />.____HI 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 Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~IS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORrlS.'H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ ~(JOcJ-crO <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_\\.R.E.C. <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLL~BING GAS ROOPING <br /> <br />SPECIALTY <br /> <br />ljJJn~,rl diU) ilr-~~ <br />~4cv~jJ <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />CONTRACTOR SECT22 = <br />Company / ~ L/] t:/I--1 I A <br />State Cert. or Regist. !fr~~ ~t <br />City License Registration 11 . J- 9 Y <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />ELECTRTCIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 0 <br /> <br />Si!?'nature <br /> <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. f <br />City License Registration " <br /> <br />MECHANICAl <br /> <br />Signature <br /> <br />****************************************~* <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />PER~IIT OFFICER. <br />