Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />To- c (s ~lc- -+ ~ <br />ADDRESS \:Ltc 0 \ A 6 \?eLf DI/~U/~ JJOd~ C;~vf{)3-)~HONE 10'1- <br />OWNER F LJC h w', \ \ I'Ct rr-.5 <br />JOB LOCATION Go J Lf l..{ l/fA. <br /> <br />APPLICANT <br /> <br />S-.;l! - 0 Y..:l- 0 <br /> <br />s+ <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />II BLOCK :<... SUBDIVISION Ty,$c;>-n /'1 t3 '-I 1'6 Itt/~ <br /> <br />PARCEL I.D.~F ('/-2 - 2~l\;Zf~6080'0026.0 -C?J/V <br /> <br />WORK PROPOSED:____New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />____Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_~F of Uni ts <br /> <br />__M / H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BqILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />IC _ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />~~;. <br />r_MECHANICAL <br /> <br />_PLUMBING <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <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 />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />:::::::~:~ Company R,,~,,-< s Ei0.-;c <br />. / __ S~ate ~ert. or R~gis t. , ~F E R 06 I ;;L';)' ~ '1 <br />C1ty L1cense Reg1strat1on # ~ 3, I <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />*********************~******************** <br /> <br />Signature <br /> <br /> <br />Company 3Af*'5 Ale C>t H!J <br />State Cert. or Regist. # ~d-cg lj/,,2,;20 <br />City License Registration # 9 <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />1tU <br />***** * ** ****** *** **** * * ~**** ** *** * * * ** **~~:.~ <br /> <br />-...,....,.".,.... <br /> <br />Company <br />State Cert. 9r Regist. # <br />City Lfc~p~e Registrati~n_ <br /> <br />OTHER <br /> <br />Signature <br /> <br />MIT OFFICER. <br /> <br />~ ~ ".. , <br />