Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />~ot.tUA ~u.rtl\'ll(j \\n'M~~ crf. 2. h~ \l~ PHONE <br /> <br />OWNER · S ADDRESS <br /> <br />5\)0 \N\V'\d~ ~ ~"aL-e. ~ <br />3Bl~ 'IA" A\Jrnu.~. <br />. <br /> <br />(u.\tt. uS I Mn"\-\lY\~ I ~l. <br />2f'Ph'irhU\~, ~l. 3354\ <br /> <br />~ l..'S \ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration ~eP.8.ir _Install <br />~-~"'" <br /> _Sign _Move _Deaolish <br />PROPOSED USE: _Single Family _H/F _' of Units _M/H <br /> _C~ercial _Indust. _Swim. Pool LOther '-JlA.r6i",'i M,,,,,, f <br /> <br />____Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK:--ReMo.ft ~l~H~ r7)t1tlYl.~) lrlsnll Vltl.uJ 15"~ ~\tj ~buj\i~~ ~hil'1.~\o~ ~\u..~\l\I4.'" <br />n.vt..c:lf l..p <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 />...p..BUlLDING <br />_ELECTRICAL <br /> <br />$ IS I "Z.u '2. . SO <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'l'ION: _Block _FrOle _Steel <br /> <br />Other <br /> <br />FIRISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEC'l' IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />F.l.F.CTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />SismAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration , <br />*************~**************************** <br /> <br />Signature <br /> <br />Signature <br /> <br />COMPANY_M'I \Ba..... ~~rLld ~ .tzc.. <br />State Cert. or Regist. # ODS':; LIe::- <br />City License Registration # ~~ <br />****************************************** <br /> <br />OTHF.R <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />