Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />;;/J -' ~ -.S ;.~ <br /> <br />APPLICANT )) ~ 5 ))~, ve - I "J <br />ADDRESS $f;/? C?~ ~V~ <br /> <br />PHONE <br /> <br />OWNER <br /> <br />JOB LOCATION ~<)~ <br /> <br />LOT SIZE_'X <br /> <br />AREA SQ,FT, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D , ~,' <br /> <br />I /bl~.:z/ ~ /~O(ogt)t7diJ /~ <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____MiF <br /> <br />____# of Units <br /> <br />.____M I H <br /> <br />Lcommercial <br /> <br />____Indus t . <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x_, <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_I\,R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />X <br /> <br />LBlock <br /> <br />____Frame ____Steel <br /> <br />Other <br /> <br />____PLl.~1BING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />FINISHED FLOOR ELEVATIONS: FT, <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert, or Regist. #, <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />ElFCTRTCIAN <br /> <br />Company <br />State Cert, or Regist, # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br /> <br />Company ~t/{:I b-M~ /~77P".jAL- ~6~R..P <br />Sate Cert, or Regist. tfr 3".:l~ <br />City License Registration if .~S- <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY~~ \ <br /> <br />PERMIT OFFICER, <br /> <br />'''":- <br />