Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />JOB ADDRESS <br /> <br />VM" ~f"D?? <br />L.l OOI?- 5v1-J\1u..e.sT <br />? S 3 7 8 i-f.- S T <br /> <br />PHONE 5 ~) - 3. 713 <br /> <br />OWNER · S NAKE <br /> <br />OWNER.' S ADDRESS <br /> <br />DR, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' 11-;2.lP<U-on/o- O~CJOO- D oCa U <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ~teration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_H/F <br /> <br />_' of Units _H/H <br /> <br />_<=<-ercial <br /> <br />_Indust. <br /> <br />_Swill. Pool _Other <br /> <br />_Restaurant it Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />c:.... ~-A 1-1 j E: <br /> <br />o'^-+ <br /> <br />A-j c- cll{.a$r-7. ~ j <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS it (2) SETS OF BUILDING PLANS it (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS it (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br />5 o'::l <br />$ 1~1 ,.- <br /> <br />Florida. Power Corp. <br /> <br />W.R.E.C. <br /> <br />~GBAMiCAL <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBIBG GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF GOBSTRUCTIOB: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIliISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />C MPANY n:.,.,~r c*~ R~c T- <br /> <br />te Cert. or Regist. f <br />City License Registration' (~~ <br />******************************** <br /> <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration , <br />************************** <br /> <br />COMPANY (,;)k-;- I!(c /4~ <br />State Cert. or Regist. . oC/.-:;;l 6 G "/ <br />S City License Registration' (.D <br />.**********~****************************** <br /> <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />