Laserfiche WebLink
<br />JOB ADDRESS <br /> <br />L()! <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTKENT <br />/ <br /> <br />/;Og/4J>O/( )S <br />b2.# <br />6:2 #=- <br /> <br />PHONE <br /> <br />/-A <br /> <br />OWNER'S NAIIE <br /> <br />OWNER'S ADDRESS <br /> <br />E/YJ~~ <br /> <br />a;/~TE.. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BWCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PRoPOsED:ANew Construction _Addition ----Alteration _Repair ____Install <br />.. <br /> <br />.", <br /> <br />____Sign <br /> <br />____Move <br /> <br />_DeIIOlish <br /> <br />. <br />PROPOSED USE: _Single Fallily <br /> <br />_H/F <br /> <br />_, of Units >( MIH <br /> <br />~, <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool ___Other <br /> <br />____Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />('OAJCI<E~ <br /> <br />D~/UL <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESlDENTIAL: <br />COHKERCIAL : <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 />l~qOO ~C7 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECIIARlCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUGTION: ____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 />RIJII.DER <br /> <br />)j/ <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />l/{)L,/) <br /> <br />('(1M> T <br />/9 f'tJ <br /> <br />Signature <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. , <br />SianAture City License Registration t <br />.......................................... <br /> <br />PLUHBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration t <br />.......................................... <br /> <br />KECHANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration , <br />.......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />