Laserfiche WebLink
<br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />t=?rF :..5'0. , (rv" <br />9-;26 --9-6 <br /> <br />OWNER'S NAIO\ ;r'~ /? ~C>-YL <br />OWNER'S ADDRESS -57 5-?5 S'l .. b I' LrJ <br />JOB ADDRESS '"-~ 7~l/ ~ ~ f' n lA.:;' Q. (I G r I' V e..... <br />LEGAL DESCRlPTIDII: LDT(S) BLOCK SDBDIVISIO'LW4' -< .-v--o--o~ <br />PARCEL I.D.' /O.....~ ~ - -2 J - to I ~O - OCOC:o..fJ./IJ{kTAIN FROM PROPERTY TAX NOTICE) <br />, . <br /> <br />WORK PROPOSED:-i.New Construction _Addition ---Alteration ~epair _Install <br /> <br />PHONE <br /> <br />1'1Rc:< - 0 g~5 <br /> <br />_Sign <br /> <br />--"-ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: Ls ingle Faaily <br /> <br />---lt/F _' of Units _M/H <br /> <br />_~ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />~estaurant Ii Health Departaent Approval <br /> <br />DESCRIPTION OF WORK:-1] E..l..-U () e~' i d '0vl~ c:::..... <br /> <br />BUILDING SIZE: ~ /C;O~ Square Feet, ~ / Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />COMMERCIAL: ATrACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />V-BUILDING <br />V ELECTRICAL <br /> <br />$ w1,WOcoO <br />~({)O AMP Service <br />$.-:2 . SOOcC<:J <br />, <br /> <br />Valuation of Total Construction <br /> <br />Florida Power Corp. <br /> <br />~R.E.C. <br /> <br />~MECHANlCAL <br />V PLUMB~NG <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS ROOFING <br />TYPE OF CONSTRUCTION: ~lock -t-Fraae _Steel <br />FINISHED FLOOR ELEVAITONS: 8 S. FT. IS PROJECT IN FLOOD ZONE AREA? <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />YES <br /> <br />to <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br /> <br />~ <br /> <br />Bmm~~ <br />Signa - '" '--"-'''- _ <br /> <br />COMPANY ~ <br />1;: , State Cert. or Regist. I <br />.~~ City License Registration I <br />****************************************** <br /> <br />PLUMBER . <br />Signat:.a;~ <br /> <br />~~~J COHPANY ~a-r-+;'" 21edr,'L <br />,- , , ' , ~ State Gert. or Regist. # to R - Ov /"f, ;,L'I--'i <br />~ . ,,~ City License Registration # -.'ll~ { 'f"Z <br />************** ************************* <br /> <br />COMPANY ~ Q ;- r ,'.(' S:-"";'!-f \J I; e ~. <br />State Cert. or Regist. . <br />City License Registration . <br />************************* <br /> <br /> <br /> <br />. S; ;:3 <br /> <br />Signature <br /> <br />COMPANY ~ "~ <br />State Cert. or Regist. <br />City License Registration . <br />****************************** <br /> <br /> <br />J> <br /> <br />MECHANICAL <br /> <br />~ 'COIlPANY~,,"'{\\~~ ""-,9.-.... ~~.QL.,. <br /> <br />- .. ..... - State Cert. or Regist. t R<!... 00 b / G:> </cP <br />Si ute, :.~' 9f""-'><~ City Lic....e Registration # ~.Y <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKlT OFFICER. <br />