Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OIlIlE1l'S NAHB ~ / ~~/ PIIOIIE 'ltJ'F5T8-2z57 <br />OWNER'S ADDRESS / dJ. 6&7 ~7 e::d?7 ~~/J ~/!?: 33Sr/ <br />JOB ADDRESSJOT/g ~~L1>vJ'L dvl~ c#d/k Q706 /t~L~. 2-;ld4. R. ) <br />LEGAL DESCRIPTION: LOT (S) J f5 BLOCK SUBDIVISION L~"'" CJda. <br /> <br />PARCEL 1.D.# <br /> <br /> <br />-&ISO......ooooo - (!?/ 0 <br /> <br />WORK PROPOSED: <br /> <br />____Addition Alteration _Repair _Install <br /> <br /> _Sign Move Demolish <br />PROPOSED USE: ~gle Family _M/F _' of Units <br /> ____Co-ercial Indust. Swim. Pool <br /> - ---- <br /> <br />_M/H <br /> <br />Other <br /> <br />_Restaurant &: Health Department Approval <br />BUILDING SIZE: Lx 50 , Square Feet, e:2.6cJS p <br /> <br />/57lJ/Z, <br />He{ght <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 REQUIRED. <br /> <br />PERMITS REQUESTED <br /> <br />~UILDING <br />/ELECTRICAL <br />/MECHANICAL <br />/PLUHBING <br /> <br />""E . c.?o <br />$ 7..:>) 000 . <br />200 <br /> <br />Valuation of Total Construction <br />AMP Service ~orida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />;? 7.50' (f)cJ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS ROOFING SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: Block ~ame Steel Other <br />(J/" ~ /I. /JI-s.Lr <br />FINISHED FLOOR ELEVATIONS: I F'l'. IS PROJECT IN FLOOD ZONE AREA? <br /> <br />~ <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />OTHER <br /> <br />CONTRACTOR SECTION <br /> <br />A COMPANY h{'7AT/ -'t<, <br />q. State cert~~gist. , .ftf-t!/oS632~ <br />Signature ~ u~ City License Registration, c3 Y!2.. <br />****************************************** <br /> <br />ELECTRICIAN I i1 I- COMPANY .~~ ~ <br />I__A~/" ~~State Cert. or Regist. . <br />wP..,---- V. Ci ty License Registration' ~ 7'1 <br />************************~***~~:;~{~~bt~ <br /> <br />PLUMBER ~ COMPANY ~ K..~u <br />-,. ..' , ~. -; ..L-l ~ State Cer or Regi2.. =-tFc.o~()..~~ 'lJ' <br />Signature ~c y ~} l) (.00'\...17'-' Ci ty License Registra.tion # {~T <br />. ****************************************** <br /> <br />MECHANICAL ~ COMPANY ~~ <br />t1 State Cert. or'Regist. , <br />Signature , ~7 ~ t2:t Ci ty License Registration , <br />***************************************** <br /> <br />~ .~ COMPANY~ IZn~L' ~, <br />~ \ State c~~tf or Regist. t ~.('-1)(/S6'72,6 <br />Signature ~ C) City License Registration, <br />. ......... ~............................. <br /> <br />BUILDER <br /> <br /> <br />.9'; <br /> <br />'* J_ <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />