Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT l- crll t" C( <br />ADDRESS , 'frf-- <br />OWNER .M/ / rflJu1/ <br />JOB LOCATION t-) 15/ <br /> <br />L It J(JJ1 <br />, <br /> <br />5 +y~c+ <br />,7on J" <7 <br />oM w. St". <br /> <br />If fI:!-. <br />. <br /> <br />PHONE <br /> <br />(~/3) 'it 3 - /L/i/L/ <br />/ <br /> <br />LOT SIZE X <br /> <br />AREA SQ.FT. <br /> <br />..... <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.4F <br /> <br />WORK PROPOSED:____New Construction ----Addition ----Alteration ~epair ____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 />____4F of Units <br /> <br />.____M / H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool '1 ~ ,t\~ <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 />/BUILDING <br /> <br />PERMITS REQUESTED <br /> <br />$I09n.tYO <br />I <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING <br /> <br />.... <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 SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUTLDER <br /> <br />Signature <br /> <br />SiQ:nature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ET.F.CTRTCT AN <br /> <br />Company <br />State Cert. or Regist. # <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 />MECHANTCAl. <br /> <br />Signature <br /> <br />Signature <br /> <br />Company Vrt'.KYI,er \..~J..JLe.Das+ ~ T-n(~, <br />State Cert. or Regist. ~t fit!.. tLJ/ S <br />City License Registrat~on # jlR <br /> <br />OTHER <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br /> <br />r- <br /> <br />......~'~...- <br />.,"l,~. <br /> <br />..;;~~:~ . <br />..... . ,1.., . ...........0 '(l4 . .'. <br />Ok . '. <br />rt 1""*..,...,,- ~ II l .. f'P' .".",r;-,. ~_...-~~-.,-~ <br />