Laserfiche WebLink
<br />APPLICATION FOR PERNIT <br />CITY OF ZEPIIYRHILLS <br />DUILDING DEl'ARTt-IENT <br /> <br />APPLICANT ;7i?~~~~ IWlkf <br />ADDRESS ?l gr;Z (/)~nMJ."/!:{f8;. <br />OWNER r;;~ 1'1. 1](1/J/J;ti- <br />3A>'d-. ~ fr, j)~ fire <br /> <br />ef)~/l/tLA <br /> <br />~L/Q/l11l P A <br />. / ~ <br /> <br />PHONE &Lf7-/ r; b / <br /> <br />'. <br /> <br />Jon LOCATION <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK ~ SUBDIVISION <br /> <br />PARCEL I. D. ~t <br /> <br />__m.~ <br />WORK PROPOSED:____New Construction ~Addition C;;=-Altel~ ____Repair ____Install <br /> <br />____Sign/Temp. _Sign _Hove ____Demolish <br /> <br />____Commercial <br /> <br />_Indust. <br /> <br />____~t of Units ,._B/H <br />_Swim. Pool $LL4#L/f.,(LL/1'1 Other <br /> <br />PROPOSED USE: ~Single Family <br /> <br />~M/F <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMI-IERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS. H: <br />**COpy OF CONTRACT REQUIRED. <br /> <br />::PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />/9tJo~~~ <br /> <br />. <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service' <br /> <br />Florida Power Corp. <br /> <br />_H.R.E.C. <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <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 />~ ~ .l'OtiTRAGTOR ~EGnOti <br />JHJ1LDER ~~ '/,I.J f' Company . <br />.. . State Cert. or Rcgist. !~C.l8(?t1LIIJt&?b <br />Signature. . City License Registration n <br />****************************************** <br /> <br />Sirmature <br /> <br />Company <br />State Cert. or I\cgis t. II <br />City License Registration 0 <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />Signature <br /> <br />Company. . <br />State Cert. or Rcgist. if <br />City License Registration 0 <br />****************************************** <br /> <br />. PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. D <br />City License Registration 0 <br />****************************************** <br /> <br />MECHANICAL <br /> <br />~. <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration ff <br /> <br />APPLICATION APPROVED BY <br /> <br />~*********~************************* <br />GA1 A' ~ ....t.7 /( AI, ;:::;-- , <br /> <br />PERl-lIT OFFICER. <br />