Laserfiche WebLink
<br />APPLICATION FOR PER!'lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~r' rnoOrJ. J.J Cl'ro.i/ SJ)..1.- <br />ADDRESS()3~ /,/0 Y..vt1r r:. 'i I~)Z ~pll1"~'" 7-!3;~(!t 78 ?-&J8 7 <br />OWNER '1 Q AAT-. AI rn OnX 11 /..- ~ A. <br />JOB LOCATION 3 f>?o J () ~ J . ~ 4 LOT SIZE...5ILX qp) AREA SQ. FT. <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION 1.1 )t:l.A.J,LLm A-J W ~ <br />PARCEL I. D. ~F~:l/ - 0/.10 o. - 00000 - 0 ~ 7(J <br />. <br /> <br />WORK PROPOSED:~New Construction _Addition _Alteration _Repair _Install <br /> _Sign/Temp. _Sign _Move _Demolish <br />PROPOSED USE: ....$-Single Family _M/F _# of Units -X-M/H <br /> _Commercial _Indust. _Swim, Pool Other <br /> <br />.t <br /> <br />_Restaurant & Health Department Approval <br /> <br />BuiLDING SIZE: <br /> <br />x <br /> <br />Square Fee t . <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COpy OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />-A-BUILDING <br />\' <br />-LELECTRICAL <br />V .., <br />-A-MECHANICAL <br /> <br />-x"PLUMBING <br /> <br />$ 3 ~,.::"t'(.;' ,-v <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />x. <br /> <br />Florida Power Corp, <br /> <br />_\,.R.E,C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />Mill <br /> <br />, <br /> <br />Other <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Block <br /> <br />_Frame <br /> <br />_Steel <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 # <br />****************************************** <br /> <br />BUILDER <br /> <br /> <br />'~Company <br />State Cert, or Regist. # <br />City License Registration <br />***************************** <br /> <br /> <br /> <br />Company <br />State Cert. or Regist, 1ft G-F=Q 03717/ <br />City License Registration # q ~ <br />********~******************* <br /> <br />Signature <br /> <br />Signature <br /> <br /> <br />.L_ <br /> <br />Company <br />State Cert. or R~gist,# <br />City License Registration <br />*************************** <br /> <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, # <br />City License Registration # <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />