Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT .-JI)S P pit 13 r 411 i l/e_1 <br />ADDRESS &o3JP L drK S'T- PHONE 7/,Jl-Sb 9jL <br />OWNER T~se~4 Bf'tJui /k-r i- l11ar5/1"e.."T Brouilk7- <br />JOB LOCATION C';t?.J:f (fa.I::;S/Je- J1 II /? L~ SIZE Xl AREA SQ.FT. <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISIONl1d.-~ride.., /1 J-I ~ <br />PARCEL I.D.# d - :JG -~ :2/ - ~-- 0 <br /> <br />WORK PROPOSED:____New Construction ~ddition .....---/ ____Repair ____Install <br />~lteration <br /> ____Sign/Temp. ____S ign _Move ____Demolish <br />PROPOSED USE: ____Single Family _M/F ____4~ of Uni ts _ V---M/H <br /> ____Commercial _Indust. ____Swim. Pool 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 />v/ <br />____BUILDING <br /> <br />~ELECTRICAL <br /> <br />PERMITS REOUESTED <br />/. ao. 0 0 Valuation of Total Construction <br /> <br />$ <br /> <br />AMP Service Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />~ECHANICAL <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 />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />SilZTlature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ET.ECTRTCIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />OTHER Company <br />. State Cert. or Regist. # <br />Signature p~~k__&J'<t6-.~.J.A~CitY License Registration 4fr <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br /> <br />J <br />