Laserfiche WebLink
<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />.Q rdJ AL- ~ <br /> <br />fJ, 1 DPE.LL [ <br /> <br />PIIONE 18;; -.;ld> j q <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />~g3J <br /> <br />lDth. <br /> <br />~,:J, <br /> <br />LEGAL DESCRIPTION: LOT(S) BWCK SUBDIVISION <br />PARCEL I. D. , IJ - ~ IP - .;J } - 00 I b .- Q.;J.l.fb 0 - 0 D 9 t) (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ____Addition ----Alteration ____Repair ____Install <br /> <br />____Sign <br /> <br />____Move <br /> <br />____DellOlish <br /> <br />PROPOSED USE: _Single Fallily <br /> <br />_KIF <br /> <br />____, of Units ----1t/H <br /> <br />____eo-ercial <br /> <br />____Indust. <br /> <br />____Swi.. Pool ___Other <br /> <br />DESCRIPTION OF WORK: 5 HE.h <br />BUILDING SIZE: q' X I d. I, <br /> <br />____Restaurant & Health Departaent Approval <br />i. I <br />q 'J. Id. <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHHERCIAL <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 REQU~RED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP 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 CONSTRUGTION: ____Block ____Fralle ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEGT IN FLOOD ZONE AREA? <br />."'''1 <br /> <br />YES <br /> <br />NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />Signature <br /> <br />)j IJAL~ <br /> <br />COMPANY <br />I State Cert. or Regist. , <br />~pj1~J City License Registration' <br />.... ..................................... <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. , <br />Sianature City License Registration , <br />.......................................... <br />, <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />KECHANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration , <br />.......................................... <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />