Laserfiche WebLink
<br />0'- <br /> <br />o .. <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~~ert~:O'? ~q~';dJ 9i C;O/#q ~T ~C_ <br />, J <br />ADDRESS ;;13/ bbC/ClHS S~ #/'1-/0 c?M~ ~ JV6"7"1 PHONE o7GY- 7.rO'T <br />v <br /> <br />OWNER tv/t1t-q,ff t../o""'i"'C /( <br />JOB LOCATION SO~? t?r~S'T 2~/AlA,.I{.,.&k. 3'%VOLOT SIZE X AREA SQ. FT. <br /> <br />LEGAL- DESCRIPTION: LOT(S)' <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. 4~ <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 />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />_M/H <br /> <br />z;:,S"~ If ;;,1/ Other <br />'eFT 1t~,tJ <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_4~ of Units <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />X <br /> <br />Square Feet, <br /> <br />Height <br /> <br />EESIDENTIAL: <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 REOtffiSTED <br /> <br />_BUILDING <br /> <br />$ <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 />--X...MECHANICAL <br /> <br />$ 3'B<f..f' ~ <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 />CONTRACTOR SECTION <br />Company <br />State Cert, or Regist, # <br />City License Registration # <br />******~~****************~******~********** <br /> <br />HUTLDER <br /> <br />Signature <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist, # <br />City License Registration # <br />*****~**~******~***~****~***************** <br /> <br />El.ECTRICIAN <br /> <br />'^' <br /> <br />Company <br />State Cert. or Regist. ~F <br />City License Registration # <br />*****~************************************ <br /> <br />PLtJM~ER <br /> <br />Signature <br /> <br />Signature <br /> <br />Company . '1~ p;e /dP /Ie q A ~ ~ &o;,'.v~ 1-T ..z:Aa.. <br />I' State Cert. or Regist, 4~ C'~o Y? i <br />~ d. ~r.._ City License Registration ~~ <br />****************************************** <br /> <br />MECHANICAl. <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist, # <br />City License Registration # <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />*** <br /> <br />PERMIT OFFICER. <br />