Laserfiche WebLink
<br />APPLICATION FOR PERKlT (){-d '1- Ii.., <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />"I <br />{ <br /> <br />OWNER'S NAME <br /> <br /><::::;; ;" // .t:1 L P / ..IV <br />, <br /> <br />tal 'k, P /-.E /t~ Ph" r <br />() A/< S ;' /)1= <br /> <br />PHONE <br /> <br />7 g>. l7 --:r y:?,S-- <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION CJ H/~ 'S; I /~ 6 <br /> <br />PARCEL I.D.' (OBTAIN FROH PROPERTY TAX NQTICE) <br />WORK PROPOSED: ~w Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />---..Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_H/F <br /> <br />_, of Units _H/H <br /> <br />_~ercial <br /> <br />_lndust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />?1I/7t) SJ. 1113 <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 & (l) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (l) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKlTS REOUESTED <br /> <br />_BUILDING <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 />_MECllAllICAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLUHJ.lING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />PT. <br /> <br />IS PROJEcr IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRAcrOR SECTION <br /> <br />BIJTI.DER . ~ COMPANY ~/~ ~./v~!L'et<- <br />~ State .,;;;;f.1;,-;< Regist.. k J< () 0 S; :J S-7 Y <br />Signature City License Registration i <br />****************************************** <br /> <br />RI.RCTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration I <br />****************************************** <br /> <br />SignAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration I <br />****************************************** <br /> <br />(- <br />~ <br />~ <br /> <br />APPLICATION APPROVED BY PERKlT OFFICER. <br />