Laserfiche WebLink
<br />".:.'Ii; <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~r r,h <br />I" ~ <br /> <br />OWNER'S NAKE eo If ('() 9 L\ l1 U.e 1.X'Yl n <br />OWNER'S ADDRESS lDt 1>4-4 ~l~ {1f" of OJ-. <br />JOB ADDRESS &:un..o , <br /> <br />PHONE 'I~D-qLi>33 <br /> <br />, . . <br /> <br />'br\~t-AIN~Jd:t!P 7;-.\:H O~S <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />.BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.' ad - ~Lo'- ;;) 1 - 0 d- \ D -- f'f'mr\ - ,~\ CJ (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ----.Addition ----Alteration ---x'-Repair _Install <br /> <br />_Sign <br /> <br />---..Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ---13ing1e Faaily <br /> <br />---..MIF _' of Units _"/H <br /> <br />_ec-ercial <br /> <br />_lndust. _Swim. Pool _Other <br /> <br />---..Restaurant &: Health Departaent Approval <br />DESCRIP'l'10R OP 1iOlIK:_TtlRTAU 9,//'Bs Kn,Y'!L. L~<J~" ~J <br />BUILDING SIZE: X Square Feet. Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />-X.BUILDING <br /> <br />$--.a q as. OD <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'llUCAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHAliICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block. _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIOBS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />.................*******..***.************ <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER ~ alIJPARY ~<-- ~~ <br /> <br />~ State Cert. or Regist. , c.~C"os-.C 13. 't <br />Signal: '- City License Registration # .0'" l\ <br />*.**.************************************ <br /> <br />~~ COHPARY\1I~ (~u <br />- . State Cert. or Regist. '* E; (l- 00 \ s..(4-, <br />. .~ City License Registration * ~ '( <br />*************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />*********..******************************* <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration t <br />**.*************************************** <br /> <br />Signature <br /> <br />Signat <br /> <br /> <br />.2I.IIJ::B_ <br /> <br />COMPANY <br />State Cert. or Regis <br />City License Regist ion # <br />********************~***~**.********** <br /> <br /> <br />UI\J. <br /> <br />APPLICATION APPROVED BY ~ ~~ <br /> <br />PERMIT OFFICER. <br />