Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER' S NAME <br /> <br />~081A1S6A) ? <br /> <br />PHONE /1 S CJ,~6 7 <br /> <br />OWNER' S ADDRESS <br />JOB ADDRESS ~~ PCJlN'I2- <br />LEGAL DESCRIPTION: LOT(S) loA BWCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. , <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />____Sign <br /> <br />-Hove <br /> <br />____De.olish <br /> <br />PROPOSED USE: ____S ingle FutUy <br /> <br />. <br /> <br />____M/F <br /> <br />----, of Units ____M/H <br /> <br />_eo..ercial <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />____Restaurant <br /> <br />DESCRIPTION OF WORK: -- -. <br /> <br />Square F~et, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL <br /> <br />ATTACH (2) PWT 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 />_BUILDING <br /> <br />~~e <br />$ .. <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br />-"ECBANlCAL <br />____PLUMBING <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 />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block _Frale ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />---- <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />PLUMBq <br /> <br />~ COMPANY tlcJL-lJ CdAJ.>T <br />State Cert. or Regist. , <br />City License Registration' <br />/ .........................,:r.............. " <br /> <br />ELECTRlCL\l( ---- COMPANY _' (,!.. ~_ <br />. /7 /, State Cert. or Regist. ,. <br />SiRnAture (tl77(//ftc City License Registration' <br />.......................................... <br />\ \. ( '. <br />COMPANY ", -,'(~~S 1:- ':XW'\S <br />State Cert. or Regist. , <br />',;. , City License Registration' <br />................................. <br /> <br />CONTRACTOR SECTIOt{ <br /> <br />Btrrl.nq <br /> <br />Signature <br /> <br />)180 <br /> <br /> <br />Signature <br /> <br /> <br />("'-'- <br />\ <br /> <br />.Pt i.y)h}'J~ C <br /> <br />'" <br /> <br />~o~a <br /> <br />KEGHANlGAl,. <br /> <br />....-.... <br /> <br />"""""-:..' <br /> <br />COKPANY <br />State Cert. or Regist. I <br />City License Registration . <br />..........~...............--............ <br /> <br />Signature <br /> <br /> <br />" <br /> <br />omRll <br /> <br />COMPANY f}fl1E.f2v4;(1J Pd/ltf7c <br />State Cert. or Regist. , <br />City License Registration . <br />.......................................... <br /> <br />fA f!.t: frlcJ/JEt. >- :::MJc <br />::2.0::1../ <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />