Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME V~ -bG:l\) ~ 1 {) <br /> <br />r <br />OWNER'S ADDRESS 3Qsr7l9 fY\ Qo...c1D u..xJOd <br /> <br />PHONE( ~ :3 - La q ~5' <br />k.O~ <br /> <br />JOB ADDRESS <br /> <br />so...\S6I'-Q <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL loD.' I,~ ~;)(y . d ( 0/4 Q . GOOde) - / (/ () <br />WORK PROPOSED:_New Construction ~Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />Move <br /> <br />Demolish <br /> <br />PROPOSED USE: ~ Single Family <br /> <br />Co_ercial <br /> <br />_M/F ____, of Units <br />Indust. _Swim. Pool <br /> <br />_M/H <br /> <br />Other <br /> <br />Restaurant << Health Department Approval <br />-:;;D ;;)..0 ~ <br />BUILDING SIZE: ( ~ X~, l{J) 11.0 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 CON'l'RACT REQUIRED. <br /> <br />PERMITS REQUESTED <br /> <br />~ BUILDING <br />~ ELECTRICAL <br />............ MECHANICAL <br /> <br />$ /5.ljWr 00 <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 />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: <br /> <br />F'l' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER i~ COIIPAIIY <br />\ ~ State Cert. or Reglst. I <br />Signatur' , ~ \ \'\ Ci ty License Registration , <br />*********~****************************** <br /> <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration # <br />******************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration' <br />*********** ****************************** <br /> <br />OTHER COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />