Laserfiche WebLink
<br />APPLICAfION FOR PERfiIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />:J t! () <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />OWNER <br />~.}. ~e.chl{,.hl lls <br />JOB LOCATION UIO'8' $,I\JeY' Oaks Or. J e.. \J LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. ~F <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. ____Sign <br /> <br />____Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family . ____M/F <br />. <br />. <br />____Commercial ____Indust. <br /> <br />____# of Units <br /> <br />.____M / H <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: X J.. Square Feet, Height <br /> (2) , (2) SETS OF & (1) SET <br />RESIDENTIAL: ATTACH PLOT PLANS & BUILDING PLANS ENERGY FORMS. ** <br />COMMERCIAL : ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br /> **COPY OF CONTRACT REQUIRED. <br /> .... <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />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 GAS ROOFING <br /> <br />SPECIALTY <br /> <br />.... <br />Other <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel <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 />SifZllature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />Signature <br /> <br />Company <br />~d~ State Cert. or Regist. !I <br />City License Registration <br />**** ************************************ <br /> <br />;k:.}//::' <br />iF .3 7' / <br /> <br />PLUMBER <br /> <br />MECHANICAL Company <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />OTHER Company <br />State Cert. or Regist. # <br />Signature City License Registration # <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br /> <br /> <br />7!~~ <br />