Laserfiche WebLink
<br />h.____._.".__._......._ .____...."'..-., .,..'~_....____ .__.__...... ._____......_..___ <br /> <br />.._....--,._-~---._-----_.~-_... <br /> <br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />'?fir ~ 6, oV <br />,,-/?--r,b <br /> <br />OWNER'S NAME :s- Ac \( Go D~e''i <br />OWNER'S ADDRESS <br />JOB ADDRESS 31 4 \ 1...\ ~ As"-\-\ t. ~~ 4\UL <br />LEGAL DESCRIPTION: LOT(S) ~s BLOCK <br /> <br />PHONE 1~,2, ~71(p1-:l <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.D.' <br /> <br />I D ,- 'd-Ct> -~( ~OI:J.D-ODOCi)" D&S-O (OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED :.......LLflew Construction ~ddition ---..Alteration -.Repair _Install <br /> _Sign --.l1.ove ->>eaolish <br />PROPOSED USE: ~e Faaily --.l1.1 F _, of Units ----K/H <br /> _eo..ercial _Indust. _Swia. Pool _Other <br /> <br />~estaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: ~ ~~ <br />BUILDING SIZE: 2J.~~ 52S"" ,~Square Feet, f!J ( <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 />~UlLDING <br />/ELEC'l'RICAL <br />/. <br />Z::~ <br /> <br />PERl1.ITS REOUESTED <br /> <br />$ ~q-, qooo .- <br /> <br />, <br /> <br />~OQ <br />~400 <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />~.R.E.C. <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br />~raae _Steel <br /> <br />Other <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Block <br /> <br />PIRISHED FLOOR ELEVATIONS: 55-- FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />B~W~ <br />Slgnat <br /> <br />CONTRACTOR SECTION <br /> <br />~ aJIlPARY ~"""" C'-e~~ ~ <br />State Cert. or Regist. , C Be - o3~'34.=- ~ <br />City License Registration' ;274 <br />****************************************** - <br /> <br />ELECTRICIAN COl1.PANY '-VY\~ ~<.:. b~ <br />I':) ~ ' State Cert. or Regist. # G () I <br />SiRnature I ~ -PL.:...,.....,.... City License Registration' <br />* **************************************** <br /> <br /> <br />v <br /> <br />PLUKBER COl1.PANY '--cl o..N~ ~....cJ.~ <br />~ //I-.L-.. _ ,I State Cert. or Regist.' ~ F - DCJCoG.b53 <br />Signature -c77 ~ ~~ City License Registration' fSB( t) <br />~ ****************************************** <br /> <br />l1.ECHANICAL . COl1.PANY ~o...~ ~(~~ 4 A: I C?... <br />~- 'p~ 0 State Cert. or Regist. , MA -~'t3'14'e <br />Signature- Y- ~\ City License Registration' ~ /.7 <br />****************************************** <br /> <br />OTHER Q' COl1.PANY ~D-Jv. ~~Y\ <br />. ~ -.' State Cert. or Regist. 4# Qf - c'J6(o/Co'1 ~ <br />Signat~ City License Registration' ~,B <br />~**************************************** <br /> <br />~ <br /> <br />~. <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />