Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />A~ q- (tltz-~ P/lf~dc. ;(I).~ <br />lfftf I I ~f1'I g, <br />9tm~ <br />3,'fd-$ <br /> <br />PHONE <br />?4fMM1/c..lS <br /> <br />7 ~'?1S3 <br />fi 33Scro <br /> <br />! <br />I <br />OWNER · S NAME I <br />! <br />OWNER · S ADDRESS <br />I <br />JOB ADDRESS ! <br /> <br />I <br />I <br />I <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL I:D"' I <br />I <br />WORK PROPOSED!: New Construction <br />,- <br />I_Sign <br /> <br />7~ <br />'Tt:) Of <br />'J.,n,uJ <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />----Addition ---^lteration ~epair -6.Install . <br /> <br />BLOCK /;). SUBDIVISION J!\1~ ~ I!.r .lJoo <br /> <br />--1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE:. _Single F8IIily <br /> <br />--1I/F <br /> <br />_' of Units ----1l/H <br /> <br />! <br />i _~ercial _Indust. _Swia. Pool _Other <br /> <br />l--.J<estaurant I< Health Departaent Approvsl <br /> <br />DESCRIPTION OF WORK: ~'fftt.A..,rf~ P, fiJcL <br />! - <br />BUILDING SIZE~ X, Square Feet, Height <br />I <br />RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OP BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED POR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDIHG <br /> <br />$ <br /> <br />r 09b ~ <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'fRICAL <br />I <br />----1fECIIAlO.CAL $ <br />_PL~~G I" GAS <br /> <br />TYPE OF CONSriUCTION: _Block <br />I <br />FI.R1SHED FLOOR ELEVATIONS: <br />I <br />1 <br />I <br />I <br />i <br />; <br /> <br />AMP Service <br /> <br />Plorida Power Corp" <br /> <br />W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />_Pr8lle _Steel <br /> <br />Other <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA! <br /> <br />YES <br /> <br />NO <br /> <br />.......................................... <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br /> <br />COKPANY_(5 \lAAorl" (i,Jct 0> J:r <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />/,~ 1 <br /> <br />BIJJIJ)ER <br /> <br />RT.RCTRICIAH <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />SilmAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />ttECBANlCAL <br /> <br />COHPANY <br />State Cert. or Regist. # <br />City License Registration f <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATION PROVED BY <br /> <br />PERMIT OFFICER. <br />