Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />3-/r -77" <br /> <br />." <br /> <br />OWNER' S ADDRESS '- 5 t, 0 7 / J.. ~ <br />SAM~~ <br /> <br />LEGAL DESCRIPTION: LOT (St):. 7 BLOCK / () f SUBDIVISION <br />(PARCEL LD.,''') / J - :J. (p-eJ j- DD 10 -/D'fDO - 0 D 7D (OBTAIN FROM PROPERTY TAX NOTICE) <br />,- ,~- ~ <br /> <br />OIl1lKR'S - J./Vt! / {~<!.. 0(- 1: I1J4A DE l3. E LL PHONE 'i? 13 - 'Z ~O - /35'f <br />S TR L: El - Z FPi4 tR H /LL.!;' - 1=L. - 3 354- D <br /> <br />JOB ADDRESS. <br /> <br />.......~.-.--- <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign _Move <br /> <br />(PA'1'iD /loOF OVE~ <br />PROPOSED USE: L.Single FUlily _K/F <br /> <br />_DeJlolish . l!'Ss~<") <br />. (AS Pc R " Ii tlc.flNfiIE S . ) <br />I: 'I. 1ST {fv 6- CO NC. R E-r-c 'S l A 6 <br />_, of Units _K/H <br /> <br />_eo..ercial _Indust. _Swia. Pool _Other '\ <br />(S-rRuC'/u R~L PAWEL9) <br />_Restaurant & Health Departaent Approval ATl.J.\~J..I Ti> i-lou Sf <br /> <br />DESCRIPTION OF WORK:../ 8 -rib RtJDF-nllER" ~ ALVN I'UM Root= K,T <br />e <br /> <br />g:. "v ^ 4.L' <br />BUILDING SIZE:' .3 A...aUL. <br /> <br />c'J. '30 <br /> <br />/ " <br />Square Feet, 7 5 Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~~ILDING <br />IV () ELECTRICAL <br />~MEGBAlUCAL <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />IV 0 PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Bloclt _Fraae _Steel <br /> <br />Other <br /> <br />FlliISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />BlJTT.nm <br /> <br />CONTRACTOR SECTION <br /> <br />GOHPANY V \/~R.a..-"'J71.PA.J <br />:) ... J /J/J .~, . /1 /J IJ State Cert. or Regist. , <br />L~~~~ City License Registration' <br />****************************************** <br /> <br />Signature v <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration * <br />****************************************** <br /> <br />SianJllture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <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 />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />