Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />(jJz& !lVD JJllfIlL/{ tllIJC J <br />~55'57 fJ /) AI T/ ;<I/-m;) ~Jt/ t/t! <br />JOB ADDRESS $5'7 1I!/IV12...Alt$u /)//f/e <br />LEGAL DESCRIPTION: LOT;S) &:;- <br /> <br />OWNER'S NAKE <br /> <br />PHONE 108&. ~/';)t OFFICe <br /> <br />OWNER'S ADDRESS <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />. 5/LtlBt tJ/f;(j <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration ~epair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily _K/F , of Units _M/D <br /> <br />_eo-erdal _Indo.to (!%)va. Pool _Oth.r <br /> <br />_Restaurant & Health Department Approval <br />. . ( <br />/Nf1/lLL S/d/l1Jm/JJI- mL f BietojO/lE <br /> <br />( <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDERTIAL: <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 />~UILDING <br /> <br />$ <br /> <br />'8c2J1 oJ <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECBAIIICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PL~ING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDUSHED 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 />BUTIJ)ER <br /> <br /> <br />COMPANY <br /> <br /> <br /> <br />WJJ t?tJ '1::ZJu ) <br /> <br />State Cert. or Regist. t t ~ <br />City License Registration t <br />****************************************** <br /> <br />::: ~COIIPAlIY DOlflAlh/ <br />. State Cert. or Regist. t E R K'.J 70 <br />..- -.Ii. City Lic..... Registration f 11':::. /7 ~7 <br />' ****** *********************************** <br /> <br />Signature <br /> <br />v <br /> <br />PLUMBER. COMPANY ~ <br />State Cert. or Regist. t <br />Signature City License Registration . <br />****************************************** <br /> <br /> <br /> <br />COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />****************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. I <br />Signature , City License Registration I <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />