Laserfiche WebLink
<br />APPLICATION FOR PER~IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br />Jch.a..per CuYlS+rUc,+ LQ Yl <br />.sou-th fhuy 9S' <br />H r:s f- C!r.1'/0 h an efturci'1 <br />JOB LOCATION rc()lj() 3th sfra.,{ <br /> <br />/) ~~- 0 <br /> <br />PHONE <br /> <br />S-6 7 - ~S[fJ <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 I.D.# <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration L-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 Uni ts <br /> <br />._M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />J <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 & (l) SET ENERGY FOR.I1S. ,,,': <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 />;j31()~ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />~f <br />_MECHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_H.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />x <br /> <br />. <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 /> <br />BUILDER <br /> <br />Signature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ETFCTRTCIAN <br /> <br />Company <br />State Cert. or Regist. ~F <br />City Lice~5e Registration # <br />**********************~******************* <br /> <br />PUJMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAl <br /> <br />Signature <br /> <br />Signature <br /> <br /> <br />r <br /> <br />Company 5t:-flaper C CJVl.s-l-ruo-h 0Yl <br />State Cert. or Regist. 4; ~C- OO,)f.c 70 3 <br />City License Registration # t.f:2 <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br /> <br />...".';.,-')? ji""f'<'~Jt. <br />, . ".?, . ...".J' ,,~.t "'" .l"A'4 <br />I~~".' <br />~,'l ":~V4 . ."'V"""( .~.j", , 'O-L_,. <br />. ~.', ~~l' <br />. .' . ~ - ..' ,.... , <br />",.,._..1.__...--..$ <br />