Laserfiche WebLink
<br />APPLICATION FOR PE~lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />. , ! <br /> <br />I <br />APPLICANT.., " <br />I i~t <br />ADDRESS ~~+ <br /> <br />/ <br />I <br /> <br />L ,'. ~../(_~ <br /> <br />'I } <br /> <br />'" c. ... <br /> <br /><- ( <br />,., <br /> <br />PHONE <br /> <br />j <br /> <br />~ <br /> <br />- " <br />. ; c " <br />/ ' <br /> <br />/ '1 / <br />OWNER i' : J' t I<.:f..., 1-' I Cdt.(/ <br />,,1 I <br />JOB LOCATION-W. )' ) ,/ ) '1~ (, ( ,i K ' 'J <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.lF <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_Move <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 FO~lS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PRRM1TS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />"","\ , I _ ./ <br />$ ,) ,(/~'. i l <br />_ ;;...--1-.' <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />.-!::.-MECHANICAL <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 />Signature <br /> <br />~ONTRACTOR SECTION <br />Company <br />State Cert. or Regist. IF_ <br />City License Registration IF <br />****************************************** <br /> <br />~mLDER <br /> <br /> <br />company r'~ < -!= r ~ ~; .3 <br />State Cert. or Regist.1 lFEe-or,tlS! 7 <br />City License Registration IF //:>1 <br />****************************************** <br /> <br />Signature <br /> <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />PUJMRFR <br /> <br />Signs-ture ,__._ <br /> <br />****************************************** <br /> <br />, <br />, (') ;.' ',~',' ~-"" ' <br />Company ,':',l.. "f -, l((~ "/.'-. <br />,I <br />State Cert. or Regist. lF~~,'! <br />City License Registration ~ I <br />J j <br /> <br />t':, '.j <br /> <br />MECHANICAl, <br /> <br />") ( . ~ <br />"I; i <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />Company <br />State Cert, or Regist. # <br />City ticense Registration # <br /> <br />'1* **..** * * ** J * ll* *." J ,.- .,~." * *." * y*/." *;, <br />/ . J,. ~ _ 1.1-/'}f.....,..I. _ PERMIT OFFICER. <br />,! . <br /> <br />QI.l-IFR <br /> <br />S i~w.a ture <br />