Laserfiche WebLink
<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />-.!:J"/~/O <br /> <br />~~ <br /> <br />i5t i( J ,1.- <br />OWNER · S NAKE i (,. Iv L i-tz. D <br />OWNER' S ADDRESS "3;.? 6 :5 5-- <br />3 'i 6 ~ s s.r-IJI/c <br /> <br />ttr\ ~'-rLo (~ t ST C (urJ[ it <br />'!J-7h./h-Jr;: Z - /-I-t //5" <br /> <br />PHONE <br /> <br />/- C. <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.' <br /> <br />(OBTAIN FROK pROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ---J\1teration _Repair _Install <br /> <br />_Sign <br /> <br />-"ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />-"/F <br /> <br />_' of Units _K/H <br /> <br />_C~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />! fJ s-/-4-{! MJ5.U L r~t4 S"l,L1/4ess1oIV 5 y S k/L1 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />LKECHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />//~V.{)O <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCl'ION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECl' IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACl'OR SECTION <br /> <br />BUILDER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Reglst. . <br />City License Registration t <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration f <br />****************************************** <br /> <br />Sillflature <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />****************************************** <br /> <br />KEGBANICAL~//) ~ COKPANYJe~b/:Jv JA vfi;-n0~6<(~"+-;.v(>.. <br />~ ~ State Cert. or Regist. , ij17S t;-'?,,:>-vt:X?lifi' <br />Signature _ City License Registration . / S-4tO <br />. **************************************** <br /> <br />OTHER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />