Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br />r. 6\'0~\AVV\~(' <br />~3 '3 ~ (j"-u\ \ <br /> <br />C. 0)\)<, ','(' Eo <:r -NC . <br /> <br />~('~" Q.o. tL <br />~\()c\ . <br /> <br />PHONE <br /> <br />(qDl.\)SCo1~ q~ <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />JOB LOCATION <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.~F <br />WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />____Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____IF of Units <br /> <br />_____M/ H <br /> <br />~Commercial <br /> <br />____Indust. <br /> <br />____Swim. 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 />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br />LELECTRICAL <br />Y-.. MECHANICAL <br />1-PLUMBING <br /> <br />$ <br /> <br />~~. 600. ()o <br />, <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <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 /> <br />SECTION <br />eo. ....c. Company <br />State Cert. or Regist. if c.R~ ()\Qq~") <br />City License Registration if <br />*************************************** <br /> <br />Signatu <br /> <br />ELECTRICIAN C:o. f l~ \ L , Company <br />"~. ~ State Cert. or Regist. <I <br />Sismature~ .R ~ City License Registration <br />. ************************************** <br /> <br />#'/73 <br /> <br />Signature <br /> <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration <br />*************************** <br /> <br />G F-L.O t{;2.. Cfi ?( <br />if <br /> <br />Signature <br /> <br />r r> (--; <br />Company ~O>"1//I--'7 S fl. C;;C OJ nJ I <br />State Cert. or Regist. # <br />City License Registration ~F 1=f: <br />***************************************** <br /> <br />It If. 7~- <br /> <br />./- <br /> <br />Company <br />State Cert. or Regist. if <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />