Laserfiche WebLink
<br />APPLICATION FOR PE~lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />JOB LOCATION <br /> <br /> <br />PHONE <br /> <br />7 ~?' A-~ s 2>' <br />- <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I, D , ~F <br />WORK PROPOSED:_New Construction _Addition ~Alteration _Repair _Install <br /> <br />_Sign/Temp, <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />_commercial <br /> <br />_Indust, <br /> <br />_Swim. Pool <br /> <br />__M/H <br />I/.a I1t6(>J6 Other <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_IF of Units <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,H <br />**COPY OF CONTRACT REQUIRED, <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <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 />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />- <br /> <br />GAS <br /> <br />~ <br /> <br />* '! J. <br />_ j~:.L< <br /> <br />",;n:"S,' , <br />'-:)', / ,4 'S v1k <br />! 1'\ I~, - <br />:/( l)-J t+ <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />_Frame _Steel <br /> <br />01her <br /> <br />FINISHED FLOOR ELEVATIONS: FT, <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />Si2:nature <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRIC1AN <br /> <br />PLUMBER CJ(/(t'S AA-Hf( f~L{/1J.hl'i/.:, Company <br />~ j7 /~ Q d5a.i State Cert. or Regist. il <br />Signature 11../tc. './1 ,,-{), }:( City License Registration <br />****************************************** <br /> <br />iF 00 1fJ'C;'1 K <br />iF _ S <br /> <br />Company <br />State Cert, or Regist, # <br />City License Registration # _ <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br /> <br />OTHER <br /> <br />Signature <br /> <br /># . <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER, <br />