Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />OWNER'S NAKE ~ j {l e-P <br />, <br /> <br />OWNER'S ADDRFSS LIJ r '9 tJ <br />~ ~ <br /> <br />JOB ADDRESS =55 Z I ~~. <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PHONE <br /> <br />11/-tJ <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D,' <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 />pmPOSED~E: _Si~leF~i~ <br /> <br />_KIF <br /> <br />_' of Units _M/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health DeparbBent Approval <br /> <br />;;t~ duL <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COKKERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <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'l'RICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp, <br /> <br />W.R.E.C. <br /> <br />---1IECIIANlCAL <br /> <br />$ <br /> <br />Va1uation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'l'ION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FlRISBED FLOOR ELEVAnONS: <br /> <br />FT, <br /> <br />IS PROJEC'l' IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRAC'l'OR SECTION <br /> <br />Burl.DER <br /> <br />COMPANY <br />State Cert. or Resist. . <br />City License Registration . <br />************************** ************* <br /> <br />Signature <br /> <br />::=: <br /> <br />~ COMPANY <br />. ?~ State Cert. or Regiat. . <br />City License ReSistration . <br />~ **************************************** <br /> <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Resist. . <br />City License Registration . <br />****************************************.* <br /> <br />Signature <br /> <br />tlECllANlCAL <br /> <br />COMPANY <br />State Cert. or Resist. . <br />City License Registration . <br />***********~****************************** <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />*******.**.*.*********.**......**....*.... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />