Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~qr~ Ue,it{. f/q11f1~1t1 <br />ADDRESS S"'S () b :e VC,f vr.< 0 r <br />OWNER \~f <br />JOB LOCATION 5CZe11 ( <br /> <br />PHONE /8 cJ v 1 3 7 b ~ 3 S <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.D.# /1.. -l b -1../ - 00 2...~ -0 O~ C)-c)\! () () \:) <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ~epair ____Install <br /> ____Sign/Temp. ____Sign _Move ____Demolish <br />PROPOSED USE: ____Single Family ____M/F ____# of Units ,~H <br /> ____Commercial ____Indust. ____Swim. Pool Other <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. ;,* <br />**COPY OF CONTRACT REQUIRED, <br /> <br />~BUILDING <br /> <br />PERMITS REOUESTED <br />L.( 7 q 0 . a.::> Valuation of Total Construction <br /> <br />$ <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 />____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 />~?\: <br /> <br />CONTRACTOR SECTION ~ S <br />Company -::f/.u~14 doCe ~~r\. \.. ,\ x'C <br />= f'f.~ State Cert. or Regist. i ((Ai-s~~r <br />~; City License Registration # <br />******** ***************************H*** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRICTAN <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 />Company <br />State Cert. or Regist. # <br />City License Registration # - <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY j1~'~~~"""***"*"*" PERMIT OFFICER. <br />