Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~o\.J..YrJ\J \ E.\.\J ~ Ca', c..o...~ \\\'-\s 'Qo.f\-N t. f i h', ~ <br />ADDRESS '\~ ~ G..\.\ ~ \vcl*~ 2- ~.\ \ \ ~ PHONE C ~\'~) ~ g'~ -gY10 <br />OWNER ~ ~ v0~\ t.-\.0 Po. {' -\- ~ <br /> <br />JOB LOCATION <br /> <br /> <br /> <br />\ ~+. LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />:3 ~ - ~ 5 - ~l -COCo -60.3oo-0COlJ <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.~~ <br /> <br />WORK PROPOSED:~New Construction <br />_Sign/Temp. <br /> <br />----Addition _Alteration ~epair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_t~ of Uni ts <br /> <br />.~/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: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUlRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <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 />~ECHANICAL <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 _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Sitmature <br /> <br />~ JJ. <br /> <br />CONTRACTOR SECTION (\ ~ C\- <br />Company ~o..~~ t! to. ~ ~~. <br />State Cert. or Regis. # ~ Ci \aqj.~ <br />City License Registration # <br />................................~~... <br /> <br />Company f1AA 7_~~ <br /> <br />Vt. . L State Cert. or Regist. 4~ 6- (2fJlJ IIII/J <br />,-~ City License Registration # <br />*******~********************************* <br /> <br /> <br /> <br />Signatu <br /> <br />RT.RCTRTCIAN <br /> <br />PLUMBER /'} Company ~~ 0 ~Cf \;\ <br />e ~ ~ State Cert. or gist. 1/ <br />Signature (. City Llcense Reglstratlon <br />, - .......... ............................. <br /> <br />MECHANICAL Company ~Ati~~ /d(J~;(A./<i. 'f..sAS fl..~ <br />-4 AI. / '. State Cert. or Regist. l L,tIC 0 V...? 9 ~, <br />Signature / p ~ City License Registration 4~ <br />****************************************** <br /> <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />