Laserfiche WebLink
<br />OWNER'S N~ ~\4JL\:)\\"r\ ~)-\A.Q\1\M <br />?>~15C;) 3\\\ ~'l~ . l"ZEQ t-{'lP-"\HS,. <br />~ <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARnlENT <br /> <br />PHONE <br /> <br />7eJC - .::r3 \ S <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction ---..Addition ~teration _Repair _Install <br /> <br />_Sign <br /> <br />_Deaolish <br /> <br />----Kove <br /> <br />_KIF <br /> <br />_, of Units _K/H <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_ec-ercial <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />BUILDING SIZE: <br /> <br />DESCRIPTION OF WORK: <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMl1.ERClAL : <br /> <br />_BUILDING <br /> <br />_ELECTRICAL <br /> <br />_l1.ECHAliICAL <br /> <br />_PLUMBING <br /> <br />x <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 />PERH1TS REOUESTED <br /> <br />$ <br /> <br />, \~4a~~ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br />X ROOFING <br /> <br />GAS <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr_e _Steel <br /> <br />IS PROJECT IN FLOOD ZONE AREA '/ <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />BUTI.DER <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />PLUMBER <br /> <br />Signature <br />, I' <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />OTHF.R <br /> <br />Signat~~., <br /> <br />FT. <br /> <br />YES NO <br /> <br />****************************************** <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />/ <br /> <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registrat"on I <br />************************************* *** <br /> <br /> <br />COl1.PANY <br />State Cert. or Regist. <br />City License Registr ion' / <br />**********************~*~*********** ***** <br /> <br />, , I., - <br />, ~ COl1.PANY <br />State Cert. or Regis . I <br />City License Regis ation f <br />********************************** ******* ,/ <br /> <br /> <br />L <br /> <br /> <br />i' <br /> <br />COl1.PANY <br />State Cert. or Regist. f <br />City License Registrat n' <br />******************~*'******~*~~'~~*.*~ , *** <br /> <br />. COl1.P~' -'SC"~QE,~~\.~ <br />, . State Cert~or Regist~.-.~"",~~,,(:!~:~1Sb(<n~ <br />"qitY:,License Re~i~tr:at:ion f , ~"2.. <br />** ****************************** I . . <br /> <br /> <br />..Jl II <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br /> <br />1,1.: <br /> <br />.' II <br /> <br />, I." <br /> <br />l' ",.1 ! ,i. J <br />