Laserfiche WebLink
<br />813 %8 1329 <br /> <br />P: 1 <br /> <br />APPLlCATION FOR PERMIT <br />CITY 0' ZEPBYRHILLS <br />BUILDING DElJAkTMENT <br /> <br />- <br /> <br />APPLICAN~~~ <br /> <br />ADDRESS ~a /0 <br /> <br />OWNER 4/CQ~ <br /> <br />JOB LOCATION~~~ <br /> <br />-./AjEb7~i.s - ~/E~E~LS C'o#~d7t:).,.) <br />///. CO~fFz.. Air 1/11ljJ,J PHONE f?:7"-O~.:2., <br />.. 900 /kJ IFj -r.st-~" r-/ .3'....~d~ <br />(;,i../I &P/~(/A-Ift!( LOT SIZB "- _ AREA SQ.Ft. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.D.1t J / -~6 -d-.j - D (OJ / 0 - O~-:/ 00- D J--.5,- V <br />WORK PROPOSED:____New Construction ----Addition ~ration ~epair ____Install <br /> <br />_Sign/Tellp. <br />PROPOSED USE: ~le ~amilY <br />_ColDllercial <br /> <br />_Sign -"ove <br /> <br />____Demolish <br /> <br />----K/p ____# of Units <br /> <br />--lf/H <br /> <br />~ndu8t. _Swim. Pool <br /> <br />Other <br /> <br />----Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t , <br /> <br />Heiaht <br /> <br />RESIDENTIAL: ATTACH (2) PLOT. PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDlMG PLANS & (1) SET ENERGY FORKS,.* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~UILDING <br />~ECTRICAL <br />-.MECHANICAL <br />-...:..-PLUMBING <br /> <br />PBBMT:r~ RF.Q(~~TlU~ <br />$ /?) ..5;-(; 5/. on Valuation of Total Construction <br /> <br />AMP Service Florida Power Corp. <br /> <br />_If.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block -Frame ____8 teel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br /> <br />*****.*...**********.*..**.**......*..**** <br />CONTRACTOR . <br />,~ Company <br />State Cert. or Regist. # ~ <br />City License Registration # <br />....*****...******.***...***.************* <br /> <br />Company :zN~ /I c.(' F/Fdlft; e.- <br />State Cert. or Reaist. # <br />City License Registration # oL~ 77 <br />****************************************.* <br /> <br /> <br />, <br />PLUMBER <br /> <br />Company <br />State Cert. or Regist. . <br />City License Registration q <br />*****************************....********* <br /> <br />Signature <br /> <br />!; <br /> <br />MECHANICAL Company <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />OTHER Company <br />State Cert. or Regiat. # ~ <br />Signature _ . . City License Registration # <br /> <br />APPLICATION ApPROVED BY PERMIT OFFICER. <br /> <br /> <br />.. <br />