Laserfiche WebLink
<br />i,.i:'PLIChTION FOR P2FJ'iIT <br />CITY OF ZEPHYi1HILLS <br />BUILDING DEPAR~MENT <br /> <br />APPLICANT <br /> <br />~,. <br />eo rz CeJ €- <br /> <br />r:;. ('J :cO F ~ -e 1-.- <br />)~ r1 '- L-d uJ .d- <br />, . <br /> <br />C; ~ f) (-;:;::,~ f> 1 <br />ffC/lA-o u.J ft / <br />. ' L <br /> <br />OWNER <br /> <br />SL-e~/.?'1 <br />, <br />GPet n 6.P <br />- <br /> <br />I <br /> <br />PHONE <br /> <br />ADDRESS <br /> <br />JOB LOCATION x~ L.. C-e 0'1 <br />II <br /> <br />LOT SIZE__X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOC}C ___SUBDIVIS ION <br /> <br />PARCEL I.D.~F <br /> <br />WORK PROPOSED:_New Construction _Addition ,___--^lteration _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 />_.Indus t <br /> <br />,__Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health De;)artmeJ.i':-. !\pprcval <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 BUILD!NG PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING' PLAt-.!: & (1) SE'i' ENERGY FORMS. ~'* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITSJ[ili2UESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuati,yo. .:)f Tetal Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Servic€. <br /> <br />____Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuatio~ of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />.ROOPING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~Block <br /> <br />__Fral!'.e ,_..__5 teE.l <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />*********************~******************** <br /> <br />~TRACTCR SECTlON , <br />BUTI.DRR lJ:.~ l3 I~:~ Company HR/?/'? r )14 14 tJ "'It- v FI ., <br /><.- 7' I "1 Y7 State Cert'. or Regist. if R x. 0 ('J 5"''-/ &:../ Lf <br />Signa ture=c- "- / ; I-S t. - - City Licens. R. g is tra ti on" ~~~ <br />****************************************** <br /> <br />Signature <br /> <br />Cc,.':[ .;.ny __ <br />State Cert. or Regist. ~ <br />City License Registration if <br />*****************************************R <br /> <br />ELECTRTCIAN <br /> <br />Comrd-ny _ <br />State Cert or Regist. # <br />City LicenSE Registration # <br />*********************k***~.****~********** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Signature <br /> <br />Comp<>.ny _____ <br />StaL~ Cert. 0= Regist. # <br />'_.__ City LicensE: Registration IF <br />******************** &*.****R**~********** <br /> <br />MECHANICAl <br /> <br />Company <br />State Ce~t. or Regist. if <br />City Lic2nse kegisLration if <br /> <br />OTHER <br /> <br />Signature <br /> <br />*********************~~******************* <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />