Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT A- L-t- A-~ e /Y t tA-- <br />, <br /> <br />C;J-/ 0 /q~~ <br />I~Yry )- J~~J?,~6t <br />. / <br />JOB LOCATION 5"")-( t? If..P- ~ <br />LEGAL DESCRIPTION: LOT(S) ~ ~ ~ <br />?-6 <br /> <br />!}kVl- <br /> <br />ADDRESS <br /> <br />PHONE ~J 'r~C:;/ 5- <br /> <br />OWNER <br /> <br />LOT SIZE J C/tJ X '1 V AREA SQ. FT . <br />I '1f SUBDIVISION <br /> <br />BLOCK <br /> <br />PARCEL 1. D. IF <br /> <br />7--rJ- <br /> <br />II <br /> <br />2-1 <br /> <br />WORK PROPOSED:____New Construction ~ddition ____Alteration ____Repair ____Ins tall <br /> ____Sign/Temp. _Sign _Move _Demolish <br />PROPOSED USE: ~ingle Family _M/F _IF of Units ,_M/H <br /> _Commercial _Indust. ____Swim. Pool Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: ! y- X ?- V , <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 FORt-tS. fd: <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />..,.-/ BUILDING <br /> <br />$ 9'?r'V <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_\-l.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 _Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECTION ' ~o~ __ ,_~,~ <br />Company ~ a~A'~/)"" a&..~ <br />~ ~ State Cert. or Regist. if 77 2.)' { (' t? "'>.2tF't-S- <br />.:::#~ ~ .?? City License Regi~tration H 7 ') <br />* **************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration ~ <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration ,.#. <br />,.' ') t <br />" ; <br /> <br />*;1'** <br />/ <br /> <br />OTHER <br /> <br />Signature <br /> <br />PERMIT OFFICER. <br />