Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />(\1 ~ 1- f<\,R S <br />'33Q01 <br />~~~ <br /> <br />CAIJ ~DAiY <br />fW\Uc t\- (\ L <br /> <br />PHONE <br /> <br />N/A- <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />4b# <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: ~"N:w Construction _Addition ____Alteration _Repair _Install <br /> <br />____Sign <br /> <br />____Hove <br /> <br />____Deaolish <br /> <br />PROPOSED USE: ____S ingle Fallily <br /> <br />_KIF <br /> <br />_, of Units ____M/H <br /> <br />____eo..ercial <br /> <br />____Indust. <br /> <br />_Swia. Pool ___Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />V)(Z\\JL <br /> <br />w' ~ ~/ <br /> <br />BUILDING SIZE: <br /> <br />x <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 REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />/ I /~ () .&rJ <br /> <br />Valuation of Total Construction <br /> <br />____ELEGTRlCAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installat:ion <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 />FDlISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEGT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />fJIL COMPANY iN..,! [) (0/</<;-/- <br />State Cert. or Regist. , <br />City License Registration , l'f eel <br />.......................................... <br /> <br />Signature <br /> <br />F.T~GTRlCIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration j <br />.......................................... <br /> <br />SiQllAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />KECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <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 />