Laserfiche WebLink
<br />APPLICATION FOR PERl"lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTt-1ENT <br /> <br />APPLICAN~ ~I/nc ~ <br />ADDRESS ,~-7/f C; f)t1y~^ <br /> <br />PHONE <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />LOT SIZE yCJ X .10 AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D.,~ /0 P! '1/ 0060 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED:____New Construction <br /> <br />tJO/o n Ot?Or> <br />~Addition ____Alteration <br /> <br />_Repair <br /> <br />____Ins tall <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />_Sign <br /> <br />_Hove <br /> <br />____Demolish <br /> <br />~M/F <br /> <br />_t~ of Units <br /> <br />,._MfH <br /> <br />_commercial <br /> <br />_Indust. <br /> <br />____Swim.. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval. f' <br />nUILDING SIZE' /1') x;2?:. ' Square Fce t, cZ 3 0 <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COl'11'1ERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR1'lS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORl'lS.;'-/' <br />**COpy OF CONTRACT REQUIRED. <br /> <br />~ILDING <br /> <br />$ .5-:2;1~!Y <br /> <br />Ef,RMITS REOUESTED <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 />_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: FT. <br /> <br />** ** ** i'*i:*.************** * i,*i, ,~* i, *;r"r ,',,., ,', ,', *,., *,., <br /> <br />~ONTRACTOR ~ECTION <br />Company <br />State Cert. or Regist. # <br />7/'- <br />City License Registration n ~_l <br />********************************* <br /> <br /> <br />Company <br />State Cert. or Regist, fl <br />City License Rep,istr<:ltion il: 1.::51 <br />****************************************** <br /> <br />~ <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. a <br />City License Registration 1 <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />MECHANICAl. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration iF <br /> <br />.oTHER <br /> <br />****************************************** <br /> <br />PERl'lIT OFFICER. <br /> <br />APPLICAT10N APPROVED BY <br />