Laserfiche WebLink
<br />OWNER'S N~~,_ 2"A~<:'" <br />OWNER'S ADDRESS (~~ 4 to S \ \ \.)e..-\ <br /> <br />/" "~ ...> ,> <br /> <br />, . ~t:: ~~ --Z;D . f <br />:y /(~'91 <br />/j :/' <br />PHONE 1 %.:3- I b:l~~ ./ <br />6~\::s UQ (~ <br /> <br />APPLICATION FOR. PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />JOB ADDRESS .s.~_ <br />LEGAL DESCRl.P1'ION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION S'( \ UC.A 0 A'v:: s <br /> <br />PARCEL 1.D.' '3 -2.6 -~ \ - 0\'2..0 -0000 (OBTAIN FROM PROPERTY TAX NOTICE) <br />/' p~\ . <br />WORK PROPOSED:~New Construct1on _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />--..Hove <br /> <br />_Dellolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_M/F <br /> <br />_' of Units _M/H <br />~Wim. Pool ___Other <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Restaurant & Health Department Approval <br />DESCRIPTION OF WORK: ~N'<'S ?~ f{ &cJLe4 t.L.~ <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 />10 yof) '% SaW~ERMITS REOUESTED <br />In oe- <br />$ \ ~ j "DO Valuation of Total Construction <br /> <br />_BUILDING <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---.HECllAlfICAL <br /> <br />$ <br /> <br />__Valuation of Mechanical Installation <br /> <br />___PLUHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRucnON: _Block _Fr88e _Steel <br /> <br />Other <br /> <br />FlRISBED FLOOR ELEVAITONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />************2**.**a******t**************** <br /> <br />YES NO <br /> <br />BUTT.DER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY F(f.~h ~ ,- e 1-/-01 t. 'i P Ch9 l } <br />State Cert. or Regist. # epc..~O~ <br />Ci ty License Registration # , q q l.f <br />********************************** <br /> <br />Signature <br /> <br /> <br />~LECTRICIAH <br />Si2l1.ature "--~ ~ <br /> <br />PLUMBER <br /> <br /> <br />COMPANY T vTVo GLfS CL I AI e. <br />State Cert. or Regist. '# S:;-re.::OO f7 7 ~ <br />City License Registration # " "':L- <br />**************************** <br /> <br />COMPANY5( D. S r- C {.kl.<=- L {)dO L r <br />State Cert. or Regist. f Ofc.a::l c~.P-O <br />City License Registration' Ie, 9~ <br />********************************* <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />~~~ <br /> <br />,. <br /> <br />Signature <br /> <br />, COMPANY <br />~~ State Cert. or Regist. , <br />.' City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY _ <br /> <br />._ PFRHIT OFFICER. <br />