Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT~0~M '~'It-l\f-..N ~"(M.~t>0 COf\JS~4L~C.-l1bl\J j-=~.0 C. <br />ADDRESS 4'1 ~.~ ~ '( ~\ -:s ~'\::) - ?-L~\\ '( a. \) I l \~ F LPHONE '7~ G -o8Z 5 <br />OWNER M\2.- ~ Me::~ C h Q~~~"'D'bC?(~~ <br />JOB LOCATION 4-V:~-l <20 \ll f05. LOT SIZE_X AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. # <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 />____4F of Uni ts . <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 />. <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 />~UILDING <br />~ECTRICAL <br /> <br />PERMITS REOUESTED <br />$ LlloO Valuation of Total Construction <br /> <br />AMP Service Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />I <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 />'R r .. C . C~NTRACTOR SE~~N '>, <br />BUILDER Y f'J.-.('o<;~ Ot\)S-hl..lAC.~\(}lU Company "t'l~ (lo~'s.hz..,-^co.\-l";" <br />~ .' --T) State Cert. or Regist. # e.B.C."O'3.5l~ <br />Signatur UAA)~ ~ . ~~ City License Registration iF ~~ <br />. **************************************** <br /> <br />Silmature <br /> <br />~wt <br /> <br />Company <br />'"l-1/1 A!l- State Cert. or Regis t. iF <br />7).., I.~; City License Registration <br />*********~******************************* <br /> <br />f1Ikv~ Elec:1vl C/ <br />4C!'(1)0 Ill' D <br /> <br />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />*********************#******************** <br /> <br />PLUMBER <br /> <br />Signature <br />t, <br /> <br />f""l-.__...._..... <br />VVlIl}-'C1J.1J <br />State Cert. or Regist. iF <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration iF <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />PERMIt OFFICER. <br /> <br />APPLICATION APPROVED BY <br /> <br />,.), <br />,,", , <br /> <br />. '.~i .. <br /> <br />..~",'f <br /> <br />E.'-~~r.~,,::,;.~:..~:,.. .~ ~~.~ <br />. "..""'_'.:10'" .", ',..'...,"0.......',. <br /> <br />,;,..;."-':1 ." ,'~A;A\ <br /> <br />_....w__....._, .,............ :-', . ..-,...~~. <br /> <br />[1'1. ' <br />.~"~~lT <br /> <br />\~ ( .,',O,!,\ <br />