Laserfiche WebLink
<br />~r r-J APPLICATION FOR PERNIT <br />.::K. c. ! J ~ - ~ CITl OF ZEPHYRHILLS <br />. BUILnING DEPARTMENT <br />11- /&" ~2- <br /> <br />APPLICANT ~~~ <br />. <br /> <br />,~J. ,gb{ ff?( 7-~t'~~ /-VI <br />jAJ. /L/ c; tJ 472tr <br />.JOB l.OCATION 1i ~r ~77~F <br /> <br />~cy~ <br /> <br />~/C~41'~ <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />71 L-r 4::? ~ J 7 ftftP/SY <br />,/ <br /> <br />OH~ER <br /> <br />LOT SIZE_____X_____ AREA SQ,FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D .l~ <br /> <br />WORK PROPOSED:____New Construction _Addition _Alteration _Repair _In~,tall <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_~Iove <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_It of Units <br /> <br />_':I/B <br /> <br />_Commercial <br /> <br />_Indus t. <br /> <br />_S\vim. 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 />CON~IERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR"IS, 1'* <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR:-IS. ,',* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />//of <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp, <br /> <br />_____\.,r. 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 <br /> <br />_Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: PT. <br />************************************;**;** <br /> <br />CONTRACTORS Y r ~ '--';> ~ A A;'r <br />Builder ,L.c~ J/1/cA/~" Company ~r?<: <br /> <br /> <br />Signature 't.-" ~L/ ~ City License Registration II <br />****************************************** <br /> <br />()~/o <br /> <br />Electrician <br /> <br />Company <br /> <br />Signature <br /> <br />City License Registration # <br />****************************************** <br /> <br />Company <br /> <br />Plumber <br /> <br />Sir~nature <br /> <br />City License Registration ~ <br />****************************************** <br /> <br />':Iechanical <br /> <br />Company <br /> <br />Signature <br /> <br />City License Registration ~ <br />****************************************** <br /> <br />u <br /> <br />Signature <br /> <br />"~ <br />'~ <br />."1 <br />I <br />I <br /> <br />Other <br /> <br />Company <br /> <br />City License Registration # <br />****************************************** <br />r HeI'eb~r certify that I have read and examined this application and knmv the same to be <br />true and correct, All provisions of law and ordinances governing this type of work will be <br />complied with \\'hether specified herein or not., the granting of a permit does not presume to <br />give authority to violate or cancel the provisions of any ~~. ~tat~or local law <br />regulating construction or performance of con~~ "~ <br /> <br /> <br />Signature of Contractor )i1gnature of Owner <br /> <br />Date <br /> <br /> <br />In~ <br />