Laserfiche WebLink
<br />APPLICATION FOR PERl'lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTHENT <br /> <br />- <br />"-7 <br />APmCANT . ~~~ (:' ~Jhk)L- <br />ADDRESS ~- ____ ,c~~:>r;,-y/k#p;~ / <br />OWNER <br />JOB LOCATION';:;;'kA'/21:-:k/~ #=-,/ <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PIlONE~ ;.ci;~ <br /> <br />LOT SIZE X <br /> <br />AREA SQ. FT. <br /> <br />SUBDIVISION <br /> <br />PARCEL 1, D, i~ <br />~. <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~Install <br /> <br />_Sign/Temp, <br /> <br />____Sign <br /> <br />_~love <br /> <br />_Demolish <br /> <br />____Commercial <br /> <br />_Indust. <br /> <br />_Swim.. Pool <br /> <br />.._M/H <br />,// Other <br /> <br />PROPOSED USE: ~Single Family <br /> <br />____M/F <br /> <br />_i~ of Uni ts <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 PL,\NS & (1) SET ENERGY FORl'IS,H <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY fORHS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMTTS 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 />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <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 />~ONTRACTOR SECTION , ~ <br /> <br />DUnnER ~r>;;-:!::Z:- .. ~~~~:n~ert.~~~:t iik-::ft;.f/</ <br /> <br />Signature' ~.. . . City License Rc"isLration" ':1 , <br />****************************************** <br /> <br />****************************************** <br /> <br />= <br /> <br />Sin-nature <br /> <br />Company <br />State Cert, or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist. 0 <br />City License Registration # <br />****************************************** <br /> <br />, PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist. 0 <br />City License Registration j' <br />****************************************** <br /> <br />MECHANICAl. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. a <br />City License Registcation <br /> <br />DTHER <br /> <br />" <br />~r __ <br /> <br />***********************************~****** <br /> <br />PERHIT OFFICER, <br /> <br />APPLICATION APPROVED BY <br />