Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br />JOB LOCATION-1) ( I (A-~O ~ ~O vJ2. <br />LEGAL DESCRIPTION: LOT (S) l) 0'1. <]"3 BLOCK <br />PARCEL 1. D. ~F ~?. - d- b -;t I - 0 C> I C. <br /> <br /> <br />PHONE 7~5-~6'~ <br />~ to p.t.. "3-"55""V I <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />SUBDIVISION <br /> <br />AREA SQ. FT. <br />(Ji 1/461<. 66<tlu.St <br />D/~O <br /> <br />LOT SIZE_X <br /> <br />o~oC> <br /> <br />_Sign/Temp. <br /> <br />_Addition _Al~eration _Repair <br />(! 011 \J ~A.;-1~ t'JI'k <br />_S ign _ -;.0 u , h'j UJ 1 noo ~Move <br /> <br />_Install <br /> <br />WORK PROPOSED:_New Construction <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_IF of Units <br /> <br />__M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />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 />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 />_\-l.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 />~' .CONTRACTOR SECTI~ . ~ ' <br />BUILDER - tun Company - I () t<4 J I"-y ~ ';' v..-dl <br />__ State Cert. or Regist. IF 00" 085 <br />Signature ~ City License Registration IF ~ , <br />......................................*.., <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. IF <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 />OTl:!.ER _ <br /> <br />Signature <br /> <br />?i1*;~***dt::*::~:::***************** <br />APPLICATION APPROVED BY ~~~~ <br /> <br />PERMIT OFFICER. <br />