Laserfiche WebLink
<br /> <br />APPLICATION FOR PERl-tIT <br />CITY OF ZEPHYRHILLs <br />DUILDING DEPARTl'1ENT <br /> <br />OWNER <br />JOB LOCATION_ /)"91 {c;, <br /> <br /> <br />, .' <br /> <br />APPLICANT <br /> <br />PHONE <br /> <br />6lj7-l<~/ <br />, <br /> <br />ADDRESS <br /> <br />'. <br /> <br />XI--h p. <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 .l~ <br />WORK PROPOSEo'____New Construction ~ddition ____Alter.tion ~~air ____Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Demolish <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_l~ of Units ,._l'lIH <br />_Swim,. Pool Ib.A1Jl- J!l-Jl0ther <br /> <br />PROPOSED USE: ~Single Family <br /> <br />~/F <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 FORHS. 1:-1, <br />**COPY OF CONTRACT REQUIRED. <br /> <br />}ry:RMITS RROUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />It' ? 9' ()-Q- <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 ~EC~ . <br />. Company /;'./t;! 13.nrA'f./.A. @~nA 1./1 <br />. State Cert. or Regist. !i~C~rjr:~J.f/1(r(f&:, <br />. City License Registration j/ ~;J 9'/ <br />****************************************** <br /> <br />nmLDER <br /> <br />t1JA/~C:LY~//- <br /> <br />Signature <br /> <br />:;ignature <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration 1 <br />****************************************** <br /> <br />f.LECTRTCTAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. a <br />City License Registration n <br />****************************************** <br /> <br />PT.lJMRER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ii <br />City License Registration 0 <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br /> <br />DTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />~~~~'~:;;;;j~"'~"*'*"**"*' <br /> <br />PERtnT OFFICER. <br />