Laserfiche WebLink
<br />,..~'- <br /> <br />APPLICATION FOR PE~~IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />(fa R, E<<I fo -r-rEf? <br />~ :3) D otl-G.-LI4-!4. R {) if.! l> <br />1-1- ~ 'If) e.^~Fd NTE/? <br />JOB LOCATION J.{ J}g 3 S U'tIf.t1IN E ~ T <br /> <br />APPLICANT <br /> <br />'.64t?'7 <br />o/..../JShFJ.R PHONE <br /> <br />..}?../',/ - 2J'//Vi <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />LOT SIZE <br /> <br />X AREA SQ. FT. <br />W//tI-rt;!i'~ t1 If'! <br /> <br />LEGAL. DESCRIPTION: LOT~ <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D . i~ <br /> <br />j ..(' - 2.. t -9.1 - 0 () 3 -0 - 0 0 I 64 -- Cl ~ i () <br /> <br />WORK PROPOSED:____New Construction ----Addition ----Alteration ~Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />____Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____# of Units <br /> <br />~/H <br /> <br />.. <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 & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />ValUation of Total Construction <br /> <br />_ELECTRICAL <br />1L...MECHANICAL <br /> <br />$ <br /> <br />AMP Service <br />.., :3 0 ')..J. - <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <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. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />PLlJM}3ER <br /> <br />MECHANICAL <br /> <br />(; /J(,../,~r <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br />~,/,. -7DR <br />PA-c././1fk UN rr- <br /> <br />Signature <br /> <br />Signature <br /> <br />Company St.! feftl 'ie /leIfTlJJ6.. f- c. Hi-I /"Ir <br />State Cert. or Regist. i; cA C t) 1/t2 '7/ <br />City License Registration;; .I / t!J <br />****************************************** <br /> <br />OTHFR <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />PERMIT OFFICER. <br />