Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br />ADDRESS i1 d \:J ~?9\ec~~r~~E' h \\l ct. <br />OWNER ~\~ \~~ r\C\.~\. <br />JOB LOCATION~d\;J ~~\~\~ ~\\\.l~_ <br />LEGAL DESCRIPTION: LOT(S) \,~ BLOCK <br />PARCEL I.D,# 55 - 1.~ -1\- a.~:Jb 1\(')C\~-(')\bt\ <br />,/<, <br /> <br />WORK PROPOSED:_New Construction ____Addition <br /> <br />PHONE (& t3) IY~3 - 11 J..{') <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />SUBDIVISION_f\\ \>'n,~&-~~ \$\\~" <br /> <br />____Alteration _Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />i. tenc:.e <br /> <br />_Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />_~F of Uni ts <br /> <br />_____M I 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 />L-BUILDlNG <br />f(::)f ~~ <br />____ELECTRICAL <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />4~CJ Valuation of Total Construction <br /> <br />AMP Service Florida Power Corp. <br /> <br />_H,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 SECTION <br />BUILDER Company <br />State Cert. or Regist. # <br />Signature City License Registration iF <br />****************************************** <br /> <br />ELECTRICIAN Company <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />PLUMBER Company <br />State Cert. or Regist. # <br />Signature City License Registration ifr <br />****************************************** <br /> <br />MECHANICAL Company <br />State Cert. or Regist. iF <br />Signature City License Registration 1F <br />****************************************** <br /> <br />OTHER Company <br />State Cert. or Regist. # <br />Signature City License Registration IF <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br /> <br />