Laserfiche WebLink
<br />.' <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />fa \-\"<5 /f-GU(r)/>1Ufh <br />,~I~d- 7 fOon-M/Y) i2d <br />OWNER 12 9 '(v1.. Y Bel b v- <br />JOB LOCATI~N 3CJ 5 c!). ~ 2S~ Ave. <br /> <br />PHONE <br /> <br />7.g;2 -,-/77 8 <br /> <br />APPLICANT <br /> <br />75 '!IDO 1\ 165 <br />LOT SIZE_X AREA SQ. FT. -- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. # <br /> <br />-Jf., - d <br /> <br /> <br />____Alteration ____Repair ____Install <br /> <br />WORK PROPOSED:____New Construction <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~ingle Family <br /> <br />____Sign <br /> <br />____Move <br /> <br />____Demolish <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />_____M / H <br />. ~C'"('t'eV) ~r <br /> <br />____M/F <br /> <br />____4F of Units <br /> <br />N 1/ II . <br />BUILDING SIZE: I 0 X~,~ d.O Square Feet, I LR Ave;, Height <br /> <br />~ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />____Restaurant & Health Department Approval <br /> <br />~ILDING <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />/}.5o rz!l <br /> <br />. <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_H.R.E.C. <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />... <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 />****************************************** <br /> <br />BUILDER ~YlJy '& ~Y' CONT~~~~:n~ECTIO~hrJ5 A-19M~ V)()t'V) <br /> <br />.,.l'-. _ j) () /J State Cert. or Regist. iF CBSOC)1.o0 77 <br />Signature v -0'Vf~ lS ~ City License Registration iF _f9 <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration iF <br />****************************************** <br /> <br />ElECTRICIAN <br /> <br />Company <br />State Cert. or Regist. iF <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />Company <br />State Cert. or Regist. IF <br />City License Registration # <br /> <br />Signature <br /> <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. iF <br />City License Registration iF <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />