Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />pAIL <br /> <br />(jJOOl) IL/&/ ( <br />15T S\ <br />LIs T <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS d I I Q7 <br />JOB ADDRESS 'S'O .~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' /J 2(;, d-I oo/n /g7/Y) of 3D (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition ~teration ~epair _Install <br /> <br />_Sign <br /> <br />----.fIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~~eF~i~ <br /> <br />-.Jt/F _' of Units -.Jt/H <br /> <br />_eo..ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant &: Hea1th ~par~ent <br />DESCRIPTION OF WORK: ~ It! r: s . <br /> <br /> <br />'{J J:::t<J ( <br /> <br /> <br />CvdlZlL - <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 FORKS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <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 />--1IECBAIlICAL <br /> <br />$ <br /> <br />;)600_ <br /> <br />r <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRucnON: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIllISHED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />RIJTT.DRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />F.T.RCTRICIAR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />SianAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />Signature <br /> <br /> <br />'!tk (2IC1f- N <br />State Cert. or Regist. t <br />City License Registration f <br />.......................................... <br /> <br />COMPANY <br /> <br /> <br />MECHANICAL <br /> <br />OTRRR <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />.......................................... <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />