Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />;sf F <br /> <br />-YlfYYt Ji_~~ <br />l-v o-tt r~; ~v - <br />1'2-0 ~ q b ~ <br /> <br />OWNER'S NAME <br /> <br />:SUN~T ~\2- <br /> <br />PHONE c:rOl/--7 ,jC(.- S-6~ I <br /> <br />OWNER'S ADDRESS <br />JOB ADDRESS ~'3 ~ S- l ~ <br /> <br />~ <br /> <br />Z-(~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />d~ <br /> <br />1frr1\-vft~ 0 <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_, of Units _K/H <br /> <br />_eo..ercial _Indust. _Swill. Pool _Other <br /> <br />_Restaurant &: Health Departaent ~~proval J 7 V ;c ~f () s / t= <br /> <br />DESCRIPTION OF WORK:J\~~ (tJ 11 cf'y\. ~D ~ \K.(~t..l.JL- <br />, -pfUL .D /UN t:; <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 FORKS. <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 />AtIP 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 _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AKEA'l <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER . <br /> <br /> <br />CONTRACTOR SECTION <br />COMPANY fvU?lt tLSA- ~ <br />State Cert. or Regist. . <br />City License Registration , <br />****************************************** <br /> <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />****************************************** <br /> <br />SiQllAture <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />****************************************** <br /> <br />OTHF.R <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />