Laserfiche WebLink
<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />.~-li-I(., <br /> <br />JOB ADDRESS <br /> <br />01 . L- <br />3<6757 <br />,<;; /ftY 6 <br /> <br />L /rU6lfud' <br />(,.). re tT-t/ E <br /> <br />PHONE <br /> <br />OWNER' S NAME <br /> <br />OWNER' S ADDRESS <br /> <br />LEGAL DESGRI.P'rION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition --AJ,teration _Repair _Install <br /> <br />_Sign <br /> <br />--",ove <br /> <br />_D~lish <br /> <br />PROPOSED USE: _Single Fallily <br /> <br />_H/F <br /> <br />_' of Units _H/H <br /> <br />_Go.aercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />-rD //J5r/fC-L-' W'fjo <br /> <br />4;::: ()t/~. <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 & (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 />_BUILDING <br /> <br />$ <br /> <br />PERMITS REOUESTED <br />~ .6'> <br />,/ c:;:::; C)- K Y Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HEGllANICAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fralle _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 />Signature <br /> <br />CONTRACTOR SECTION <br /> <br />~ COIlPAIIY SUNSTl77---e. de () ij ,../C/ J":7: <br />State Cert. or Regist. . <br />"- _ City License Registration . 70 <br />. ****************************************** <br /> <br />BUTTDER <br /> <br />PoT .F..CTRICIAN <br /> <br />SianAture <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <br />****************************************** <br /> <br />KEGHAHICAL <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or. Regist. , <br />City License Registration' <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVEb BY <br /> <br />PERMIT OFFICER. <br />