Laserfiche WebLink
<br />APPLICATION FOR PERI-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT 4 c e A e-P)-/ ~J . :;C.tO C. <br />ADDRESS 9;tJ C<J;r(7J2l1iJdN',1G IJ/Vd ')fJj(ei~1I/J <br />OWNER 7" r (1-N l.l ;i tv ;U.J2 S- <br />JOB LOCATION L;T / J- 'I - :J 8.J'Y S- /-J9p'f/~ /Jy-€ <br /> <br />/-::L <br /> <br />PHONE <br /> <br />0?ft -:l2J? <br /> <br />BLOCK <br /> <br />LOT SIZE_X AREA SQ,FT. <br />SUBDIVIS ION .;31- --e el' )< !Io /10 '" /'"1 H~ <br />, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL 1. D. j~ <br /> <br />WORK PROPOSED:____New Construction ____Addition ~lteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />____Hove <br /> <br />____Demolish <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />, .____1'1/ H <br />Ill- clll-tfI'Y- 0" ~ther <br /> <br />PROPOSED USE: ____Single Family <br /> <br />_M/F <br /> <br />____j~ of Units <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t, <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 />~ELECTRICAL <br />VMECHANICAL <br /> <br />$ !b-S() G e- <br /> <br />valuation of Total Construction <br /> <br />AMP Service <br />$ ~, 5':J--cJ . 0 0 <br /> <br />Florida Power Corp, <br /> <br />_W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />.... . <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 />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. !~ <br />City License Registration a <br />****************************************** <br /> <br />BUILDER <br /> <br />ELEr~~JCT AN <br />Si~C~ <br /> <br />4~~ <br /> <br />Company /Jc e ,1 Q +f.;" , ;;::;.."" , <br />State Cert. or Reg(st. i~ E.5 00600<"/ <br />City License Registration iF <f,/I} <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist. a <br />City License Registration a <br />****************************************** <br /> <br />PLUMBER <br /> <br /> <br />/JO f' '-al(' <br />Company c.t2. rr <l rr' 'J .-I-N . <br />State Cert. or Regist. iF Cf}co J 9?~-j- <br />City License Registration iF #' r.o J <br />********************************* <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. a <br />City License Registration a <br /> <br />APPLICATION APPROVED BY <br /> <br />~. ********~************************* <br />.MA'd -- o/}.A\...J, <br /> <br />PERMIT OFFICER. <br />