Laserfiche WebLink
<br />APPLICATION FOR PER}lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ,..} (){ : i I,. <br /> <br />j': <br />.... <br /> <br />I <br />"- /l _--+ <br />r'; i1 t lln," <br /> <br />ADDRESS 0);),b -p;~\'10r\ <br /> <br /><;. -r' <br /> <br />PHONE 1 tJ - !.J 01 7 <br /> <br />OWNER '.. <br /> <br />....~ . <br /> <br />\ <br /> <br />( I <br /> <br />\ <br />JOB LOCATION \. <br /> <br />LEGAL DESCRIPTION: LOT(S)_~ <br /> <br />~tJ/1 JVd-"r",,;eT: A <br />LOT SIZE~X 6 <br /> <br />AREA sQ. FT. Y. 0 (j 0 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.# <br /> <br />WORK PROPOSED:____New Construction _Addition ____Alteration ____Repair ____Install <br /> _Sign/Temp. _Sign ~Move _Demolish <br />PROPOSED USE: ~ingle Family _M/F ____~~ of Uni ts ,_M/H <br /> _Commercial ____Indust. ____Swim. Pool Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: l~t X 1./10 , /, ! t.i '1 Square Feet, Height <br />, <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL : ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ",* <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 />_\".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 /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />** *********************** <br /> <br />/' <br /> <br />PLllMRER/~ ~ Company (!t"I&.?~ P~i~ . <br /> <br />. /1/J ~/p State Cert. or Regist. # <br />Signature ~ ,/t~1 City License Registration iF Ie) <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />********************************* <br /> <br />/~ <br />, -- <br /> <br />Company <br />State ~ert. 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 <br /> <br />1?:;;;~':~';~~:';""""''''*'''' <br /> <br />PERMIT OFFICER. <br />