Laserfiche WebLink
<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTHENT <br /> <br />OWNER'S IWtE ,.ft;,.}'( /Rt/OJr/'j PHONE ff'/3-6'C};;- 7707/ <br /> <br />OWNER'S ADDRESS 1/708 %<./N ~ (~G/,ynV A'%'/ -;0;/1'//'7 . /~. __~?k:/>- <br />/ / ' <br />JOB ADDRESS Z:;LJA'-<I/~;//; /~A!/5T 5:J77 C..?;/ /?~/ ';~.-f-p'~y'-t;1j. <br />/ / <br />LEGAL DESCRIPTION: LOT(S) BLOCIL...-.SUBDIVISION <br /> <br />PARCEL LD.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ----Addition --..Alteration --llepair ...LInstall <br /> <br />_Sign <br /> <br />-.JIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />---If./F _' of Units _M/H <br /> <br />_~ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant It Health Departaent Approval <br />DESCRIPTION OF WORK: ;I;0H ~cMqe UN"/- C~,vqe QI'Y <br />./ .....,,/ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: ATl'ACB (2) PLOT PLANS It (2) SETS OF BUILDING PLANS It (1) SET ENERGY FORMS. <br />COMMERCIAL: ATl'ACB (3) SETS OF BUILDING PLANS It (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--L:.JmCBAIIICAL <br /> <br />$ <br /> <br />170)0 <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUHBIIIG GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSmUC'llON: _Bloclt _Fraae _Steel <br /> <br />Other <br /> <br />FIllISHED FLOOK. ELEVATIORS: <br /> <br />PT. <br /> <br />IS PROJEC'l III FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />RIITI.DRR <br /> <br />COKPARY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />RT.RCTRTCIAR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................*.................. <br /> <br />Sionature <br /> <br />PLlDIBER <br /> <br />COKPARY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />Signature <br /> <br />COKPANY L7e.v""~..z?/-'T",..#h/ _,0~ <br />~ '/ P . .?' State Cert. or Regist.' /~co 1/.7';77/ <br />~?~~<-<' ?/? C~'h.- City License Registration' <br />.... ..................................... <br /> <br />IlECBANICAL <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATIOR APPROVED BY <br /> <br />PERMIT OFFICER. <br />