Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />APPLICANT /i\:\l~~\ Wo.\.I~S <br />ADDRESS '1J.t)~ 3~ ~ ~~. +1 <br />M.::\~-L\ We.. \', )lo~~l ~ <br />JOB LOCATION (f) Slo ~ L-~ --:UJ\.u,}-(. <br /> <br />M~ tJlMLt ~~ l~ <br /> <br />- <br /> <br />3"3lcl~ PHONE (&\"0 liJ dol., ~SD~c, <br /> <br />OWNER <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLDCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.~F O~-~lo~o.\. 00\1-\.. OOOf)O'" o04b <br /> <br />WORK PROPOSED :_New Construction _Addition """--Alteration _Repair _Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br />~ommercial <br /> <br />_M/F <br /> <br />_# of Units <br /> <br />._M/H <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />., <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 & (1) SET ENERGY FOR~S.*;; <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 />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />..' <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 />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />Signature <br /> <br /> <br />****************************************** <br /> <br />CONT~~;~:n~ECTION?a.ul ~ ~~t0 <br /> <br />State Cert. or Regist. if ~. OD3~5a~ <br />City License Registration # 1~ <br />************************************** <br /> <br />ELECTRICIAN ~~~~J. ~ Company <br />~f /1q - .. .~J! . State Cert. or Regist. ~F <br />Signature ~ Clty Llcense Reglstratlon <br /> <br />PI.W8f.R~-' .J i. M~""''''':::::::'''''''''* ........ <br /> <br />State C2rt. or Regist. 1 <br />Signature City License Registration # 9' <br />* *.*** ** ** ********* ****.*** *** *** * * * * ,,: 1: * * i: i: ,', <br /> <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City ~icense Registration ff <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATIDN APPROVED BY <br /> <br />PERMIT OFFICER. <br />