Laserfiche WebLink
<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />O~1,'lb <br />) /1 (15 <br /> <br />./ <br />PHONE 7 ~ ~ - ;J..I 4 S <br />Z4J~; 1I5 j r-I <br /> <br />OWNER'S ADDRESS <br /> <br />s~~o <br /> <br />Po, '!\XL (~( p <br />ClIaYlce;-Rd . <br />t... t) ~ 2- <br /> <br />"......., <br /> <br />OWNER'S NAKEJ;:: me vu.Q d <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. f <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swu.. Pool ___Other <br /> <br />_Restaurant & Health Department Approval <br />DESCRIPTION OF WORK: Conc..re-fe S Ia. h <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 & (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 />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AttP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECBAIIICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fralle _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 />BUILDER <br /> <br />p~ <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY ~hG\r MlL)()Y\Vy C6f1stru.chan,...Lr1<:. <br />'-"V\ State Cert. or Regis t. . ~ (( C tJ tj 5' Y) 1 .:J.- <br />J-Je~1) City License Registration f 2 g - Ce v+ <br />****************************************** <br /> <br />Signature <br /> <br />F.T.F.CTRICIAN COMPANY <br />State Cert. or Regist. # <br />Sianature City License Registration t <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration . <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration # <br />************~***************************** <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration . <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />