Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />q?~!Jl P-;:J.3-.7f <br /> <br />OWNER'S NAME <br /> <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />--~-_.. <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_~ Construction _Addition _Alteration <br /> <br />_Repair _Install <br /> <br /> _Sign _Hove _DeJlolish <br />PROPOSED USE: ~le Faaily _H/F _, of Units _H/H <br /> _<=<-ercial _Indust. _Swim. Pool _Other <br /> <br />____Restaurant & Health Deparboent Approval ~ <br /> <br />DESClUPTIOR OF won, ,Screen ~ ~l\;, l B\tci-l~oo--t- <br /> <br />BUILDING SIZE: ~x, ~, :JL(o Square Feet. Xl Height <br /> <br />.cRBSIBENml.:--""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 />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~LDING <br /> <br />$ <br /> <br />0'0 <br />) I 00 ~ <br /> <br />( <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECllAlfICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br />A1LJf\'\,(\utY\ Other <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />~tlk1.~ OMFARY I I <br />State Cert. or Regist. . <br />City License Registration . <br />,***********.****************************** <br /> <br /> <br />!31 hr-) <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />****************************************** <br /> <br />SillllAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration t <br />****************************************** <br /> <br />APFLICATIOR APPRDVIID BY ~tlAU'<1 J?1 ff>-~ FERHlT OFFICER. <br />