Laserfiche WebLink
<br />APPLICATION FOR PERt!IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT Y / c. K 11 c J. R c/ 6"// L / ;c/ <br />ADDRESS ,;;60 J J. J1 v R R SF C /4 /1 J/E P1Jj( tJ PHONE ~ 82.- ~~ 17' <br /> <br />OWNER <br /> <br />Die. K <br /> <br />,fi-,::C L F1 l./ & ff L J A/ <br /> <br />JOB LOCATION <br /> <br />;:5',/'7 /'IT <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ.FT, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I, D , IF <br />WORK PROPOSED: ~w Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. ____Sign _Move ____Demolish <br />PROPOSED USE: ~'ingle Family ____M/F ____IF of Units _____M/H <br /> <br />____Commercial <br /> <br />____Indust, <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />Resta~rant & Health Department Approval <br />-;O'^- Ib <br />BUILDING SIZE: !/~2 x~, C.E/'1c~ Square Feet, <br /> <br />-rB~ <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 />____BUILDING <br /> <br />1?2-0 <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp, <br /> <br />_\'J,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 />Signature <br /> <br />RI\T HII R )-1 E,:]! ;-/ <br />(~t~_A <br /> <br />CONTRACTOR SECTION <br />Company <br />~ State Cert. or Regist. IF <br />. City License Registration <br />****************************************** <br /> <br />C/(C.D 3?-1L( <br />IF J 6- -.:, - <br /> <br />BUILDER <br /> <br />ELECTRTCIAN <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLlJMBER <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 />.7 <br /> <br />OTHER <br /> <br />Signature <br /> <br />PERMIT OFFICER, <br />