Laserfiche WebLink
<br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE W. \ \- \. A~ <br />OWNER'S ADDRESS 3 9 a ~ ~ <br />-SArhe <br /> <br />f}. ~ l M PHONE tl J ~? ~ c:2-.5... ~c; J <br />flAy" I~ gV' ~ v e <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I.D.' 1;)- d- to -;;;- J -0030 -LJD ~(l 0 - 00 c; 0 (OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ~lteration _Repair _Install <br /> _Sign _Hove _Deaolish <br />PROPOSED USE: _Single FOIily _H/F _' of Units _H/H <br /> _C~ercial _Indust. bWia, Pool _Other <br /> <br />_Restaurant & Health Departllent Approval <br /> <br />DESCRIPTION OF WORK: <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 />PERMITS REOUESTED <br /> <br />~UILDING <br />/ELECTRICAL <br />-"ECBAlUGAL <br /> <br />$/~9CY <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fralle _Steel <br /> <br />Other <br /> <br />FIRISRED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BUII.DER <br /> <br />Signature <br /> <br />(]auI {l. <br /> <br />COMPANY <br />~ . Lv- State Cert. or Regist. . <br />AL;t City License Registration . <br />.... ..................................*. <br /> <br />F.T.R.CTRICIAR COMPANY <br />/1_ // a ,,\ ,/.,+- State Cert. or Regist. # <br />SionAture ~ . ~~ City License Registration , <br />...... ................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />...................................**.**.. <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />............~............................. <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />....*.........**..................*....... <br /> <br />APPLICATION APPROVED BY PERKlT OFFICER, <br />