Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER · S NAKE <br /> <br />e~l-lff~ c~ -A6D~~ <br />, <br /> <br />{~O~ '-?~6r. <br />( 5' tf;/tJ~ <br /> <br />t?~Jr;~NE ,/15J>-J?9Y <br />2.e//I7~A///J <br />I <br /> <br />OWNER' S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ---..Alteration ---.Jlepair _Install <br /> <br />_Sign <br /> <br />----Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />~K/F <br /> <br />_' of Units _K/H <br /> <br />_ec:-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departllent Approval <br />DESCRIPTION OP llORk: P F: /V e L<-97 /0 / <br /> <br />BUILDING SIZE: X Square Feet, 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 />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 />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-'lECllAlUCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS 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 AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BIITIJ)ER <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY 2.egLv~ or:/l\/~dC;b~/y <br />. ~ ?~ State Cert. br Regist. , <br />D{ , ft. ~^ t:? / / City License Registration , .;;L/ / <br />, .......................................... <br /> <br />Signature <br /> <br />F.T .RCTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration , <br />.......................................... <br /> <br />SilmAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />.......................................... <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist.' be /2-38 {S- <br />City License Registration' Z_// <br />.......................................... <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />