Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER' S NAME G L-E dJ (\J <br />OWNER · S ADDRESS 5' <;;; 2-0 <br />JOB ADDRESS 5" c;, :2>2 <br /> <br />~(!('~ <br />I 5 7" . ..51' <br />S7 &T <br /> <br />PHONE <br /> <br />)g5 <br /> <br />R36/ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' 1/-:1J, -d-/ - 00/ tJ- d8 2J 0 (j - 0/ V 0 <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~New Construction _Addition _Alteration _Repair _Install <br /> _Sign _Hove _Demolish <br />PROPOSED USE: _Single Family _H/F _' of Units _H/H <br /> _Commercial _Indust. _Swim. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />.pWT <br /> <br />C _ F---a-r 4!!:,U ? <br /> <br />/N <br />, <br /> <br />]//2-( II ~~) ~ <br />Height <br /> <br />BUILDING SIZE: X <br /> <br />Square Feet. <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 />PERMITS REOUESTED <br /> <br />-LBUlLDING <br /> <br />$ <br /> <br />550.. <br /> <br />Valuation of Total Construction <br /> <br />_ELEC11UCAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <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 _FrUle _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 />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />~~ <br /> <br />COMPANY <br />/t{ ~ State Cert. or Regist. , <br />City License Registration t <br />************ **************************** <br /> <br />Signature <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. , <br />SiRnature City License Registration , <br />****************************************** <br /> <br />PLUMBER. COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />*************~**************************** <br /> <br />OTHF.R COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />