Laserfiche WebLink
<br />... <br /> <br />'" <br /> <br />APPLICATION FOR PER!'lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br />Bohr's Propane &as ~ Ale,' Xnc, <br />4441 Allen Roca <br />B( del 0 (" BrUld a Buchan ail <br />JOB LOCATION '5134 q+h s+rea <br /> <br />PHONE <br /> <br />78a ~ ~~o 13 <br /> <br />APPLICANT <br /> <br />ADDRESS <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 LD.'.! /I-3h-JI- 0010- /Q400.... 0/40 <br /> <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 />____~F of Uni ts <br /> <br />_____M / H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />.~.,: <br />!' <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUJLD1NG 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 FORI1S. ** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.*~ <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />~"'1E:tHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_h'.R.E.C. <br /> <br />$ .2 I-SO. 00 <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLt'MBING <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 />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />'*.**"**'*"'*":::::::"'~:::;:*.;:}I~;Z5 ~~ <br /> <br />State Cert. or Regist. # <br />City License Registration # <br />* *~********************************* <br /> <br />l/ <br /> <br />BUILDER <br /> <br />Signature <br /> <br /> <br />I~q <br /> <br />Company <br />State Cert. or Regist. " <br />City License Registration 1 <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />.. <br /> <br />Signature <br /> <br />7 <br /> <br />.J--8~ <br /> <br />~ ****************************************** <br /> <br />Company Bohr's Propa-rle G8s ~. /tic .Jnc. <br />State Cert. or Regist. j,! CAC04b.q 48 <br />City License Registration 'fr '7 S" <br /> <br />MECHANICAl <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~~~~~***;J1***~********~*~~~~~~~~W~~~*~ <br />"'4 ;/WJ>.. r" .. <br />0/ <br /> <br />PERMIT OFFICER. <br />