Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br />YA.NC1~ L. MILTl'lN J ml~~ l0f-,l::.-rRllLTI\)NJ \t-J( <br />\'0':) II LJ ~. 3()lr VnA-t. {\~ I {::L ?i~S zS' PHONE aD4j 6/'07-&14-1 <br />:bRIF1~1)1)~ 1\/J~i>lVl\"\lJW\ k(()L\RT10N <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />JOB LOCATION lnlq IS - (/J1.4 zG, <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />A b pt',,\ COlA rl- <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />~e- 1(0".~ <br />WORK PROPOSED:____New Construction ----Addition ----Alteration ~Repair ____Install <br /> <br />PARCEL 1. D. # <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____4~ of Units <br /> <br />,____M / H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Other <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 FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~BUILDING <br /> <br />$ f). {,It?>. ~ I <br />. <br /> <br />PERMITS REOUESTED <br />(32~~) Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />____MECHANICAL <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 />****************************************** <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />Sirznature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Signature <br /> <br />Company --1Yl\ lh1r fClI'lf.\rurt-ii)f\ I \ 111 <- <br />State Cert. or Regist. # RL ()05SLIS <br />City License Registration # 31 <br /> <br />OTHER <br /> <br />~O[)-rl~a <br />,} <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />