Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />1~Y ;O'u0 <br /> <br />OWNER'S NAHlL-C;:< l) 5 S 'E I- L Y\"\. <B Ro w ,.....( PHONE ~-:-; '3 () - I i.-g '2. q- <br />OWNER'S ADDRESS 15::<'35 A b:J ~ EL~ COOR.T z '\1 ILLS FL 3, 35Lf- L <br />JOB ADDRESS 4- f '2 C{ 5 I L VEf2 (':../ R eLl':::) :2.-' ,~ I tL s: f::L 33 s- 4- \ <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION C\i l4 L Fa....,.. V\l LV\ <;;. <br /> <br />PARCEL J.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction ____Addition ____Alteration ____~epair ____Install <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ~Single Fa.ily <br /> <br />_"IF ____, of Units ____"/H <br /> <br />____Conaercial <br /> <br />_Indust. ____Swim. Pool _Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: f< ~&'S'TKAr:D Y'V\oD6L Y:\\3S0L\.) , S- <br />f L' I . I ~ i 7 a ( <br />BUILDING SIZE: 3q X~5'b2 ~ Square Feet. 0 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 />PERMITS REOUESTED <br /> <br />v/BUILDING <br />~LECTRICAL <br />~ MECllAliICAL <br />~PLtJHB~NG <br /> <br />$ <br />IDa <br /> <br />Valuation of Total Construction <br /> <br />AKP Service <br /> <br />,/ Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: .LBlock _Fralle ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />V <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY SU SSGLL ~ . ~ RO~7/'\ <br />c:J State Cert. or Regist. # '{t,CO (..l, ,\ \ <br />7'itL'lteLl M. ~ "8L-'-^. . City License Registration' .7_Lf- '3 <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br />SiRlUlture q:(, I M QLt <br /> <br />COMPANY Cf?USSGLL M '?,QOLu/'J <br />1f\'1 0 \-...-.,.. _ State Cert. or Regist. #I R n ()() I 0 ~i5 , <br />~l~ ~~.~ City License Registration f \L,~ <br />******................*..****....****.*..* <br /> <br />PLUKBER <br /> <br />o <br />~ COMPANY liUC;SGLL n1. hRDLAJI--.t. <br />State Cert. or Regist.' C\---=- CO 3<1 q c~ (. <br />' fY\, S2:nnL.t..N\..... City License Registration #I In'? <br />***...*.**.......*****.**...****..***..*.. <br /> <br />Signature <br /> <br />Signature <br /> <br />Q~ <br /> <br />COMPANY <:f< USSELl IV'\b ROld "J <br />M ~ State Cert. or Regist. :9 c.. t1CL.; Lf--l 2.54- <br />, r I , :1::::>~ City License Registration f I" <br />*.********.~**********.****.*******.****** <br /> <br />MECHANICAL <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration f <br />***********.*.*.*****.*******.*******.***. <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />