Laserfiche WebLink
<br />~. <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER · S NAKE <br /> <br />/:"l/':/I P,if /T/L/ <br /> <br />PHONE 7f?:2 ~C~7 < <br /> <br />OWNER'S ADDRESS ,'?r?IJ/Y' //1/1NC//(. Ute <br />JOB ADDRESS 54.rl? <.:: <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />IL/ <br /> <br />BLOCK <br /> <br />SUBDIVISION ZeD hg;Jv //I~ /ltJ.H t:Vt. <br /> <br />PARCEL 1. D. t ;P jf t. <br /> <br />P t~c c7R. / '.f It; PC / sc:rt <br />, <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 />. <br />PROPOSED USE: _Single Faaily <br /> <br />_H/F <br /> <br />_' of Units _M/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swta. Pool ___Other <br /> <br />_Restaurant & Health Departaent Approval <br />/ <br />DESCRIPTION OF WORK: r::.' 1,(/6 (/ D rL::'Juc E 4.;IU",?&I.li S" /?L""""<- <br /> <br />/ --- // 0 /.; <br />, <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 & (l) 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 />_ELEC'J"RlCAL <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 CORSTRUC'l'ION: _Block _FrOle _Steel <br /> <br />Other <br /> <br />FIIUSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />/', <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t J ~ <br />****************************************** <br /> <br />Signatur~'F-/' <br /> <br /> <br />/ <br />/' <br />ELEC'l'RIC~ <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />SiDnAture <br /> <br />PLUKBER <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 />OTHRR <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />