Laserfiche WebLink
<br />APPLICATION FOR PERKIT <br />CITY OF ZEPllYRHILLS <br />BUILDING DEPARTMENT <br /> <br />,~ <br />OWNER · S NAHE(/;t\ L <br /> <br />.-",") <br />I:::J 10 <br /> <br />~~\E-5 <br /> <br />PHONE <br /> <br />OWNER · S ADDRESS <br />JOB ADDRESS r'-~}:AtL --PI II-...) I~ P\OTfV1ENT'~ <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL 1.D.' 94-1:'; -21 - i()(<"Y) .lSf"\3{)f) .~. DO<? D (OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration <br />LSign <br /> <br />_Repair _Install <br /> <br />---..JIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br />.L~ercial <br /> <br />_H/F <br /> <br />_, of Units _H/H <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br />DESCRIPTION OF WORK:-1lf)nIL nt L~~H-Ts f1JL ~&~ .- (d) ANf ~i2U(cE <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 />_BUILDING <br />1ELEC'l"RICAL <br /> <br />$ <br /> <br />(ao <br /> <br />AMP Service <br /> <br />Valuation of Total Construction <br />'{. Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---..MECHANICAL <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 _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED 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 />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration , <br />************************************* <br /> <br /> <br />Signature <br /> <br />COMPANY SAN ANN l3u~.qiZ.lL <br />State Cert. or Regist. , <br />City License Registration' ~~ <br />****************************************** <br /> <br />"7" <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />****************************************** <br /> <br />HECHABICAL COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration . <br />****************************************** <br /> <br />OTIIRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />