Laserfiche WebLink
<br />'fie <br />/1Y '1 '1 <br /><trr 'J-1I1 ~ <br />OWNER'S NAME v.J" / / ia <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />o . <br />~'(\ / /\1 <br />)J A( /(J \\ <br />'\ y>f} r y 1\ 1,)' tp / <br /> <br />~ <br /> <br />,c, /' I \.J e PHONE '7cP ~ - -5- S-O ~ <br />, <br /> <br />c, ~ i! I,s: 12 d 'Z f! /~ I~ Y /t It ,-/4 / F / ~ ~ S- Lj I <br />./J~N~, ~ ~ K,AI t' Jl: F / *.~) /1 R d 'I- '--'/.r--.} CJ J <br /> <br />OWNER'S ADDRESS J-/? d> 7 <br />?...5 0/ - 6J'03 <br />JOB ADDRESS v>.3 O~ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I. D. t S - ~ b -..1 / - () CO t!I 0 - {} tJ 7 tJ (7 - cJ d / '0 (OBTAIN FROK PROPERTY TAX NOTICE) <br />WORK PROPOSED: ~ew Construction _Addition _Alteration _Repair _Install <br /> <br /> _Sign --1fove _Deaolish <br />PROPOSED USE: _Single Faaily _KIF _' of Units _K/H <br /> ~ eo..ercial _lndust. _Swim. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: /II &. 0 <br /> <br />;; LA " Ie/.',. r V - f) p p. 'c e. P / e ~ 6. <br />/ <br /> <br />BUILDING SIZE: ..s () X J>-tJ , ..J. ~t! IJ Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ArrACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br /> <br />PERMITS REOUESTED <br />$ 9'fI 7f> S- ~ Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />.L/ CJ () AKP Service <br /> <br />~ Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECHANlCAL <br /> <br />$ .....\..) ~ {) <br /> <br />Va1uation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: -A.-Block _Fraae _Steel <br /> <br />Other <br /> <br />../ <br />FDiISRED FLOOR ELEVATIONS: / (J..'S F'f. <br /> <br />IS PROJECT IN FLOOD ZORE AREA? ~ <br />YES NO <br /> <br />...........................*.*..********** <br /> <br />CONTRACTOR SECTION <br /> <br />RUTl.DER ~' COIIPARY :;-" I." J., S' '- .' -f /" <br />- .~ State Cert. or Regist. . 1t.lK <br />Signature ~ ~ City License Registration t <br />or .**.....**.********..*********.***.**.**.. <br /> <br />c ~ IV-l ;/. <br />~~ '1,-~ ~ / <br />.J 7" 9 <br /> <br />v <br /> <br /> <br />COMPANY PfLS.--C C(fi-~S ~/~ r~ .e- <br />State Cert. or Regist. . 00 f~?? <br />City License Registration , <br />*****.****..*.*..********.***.**.** <br /> <br />~ <br /> <br />Signature <br /> <br />i!t ' t COMPANY ~ K r' ". <br />1, ~. / State Cert. or Regist. . <br />o _b~ '55 DC?, '7 City License Registration f <br />**..*.*****..***************************** <br /> <br /> <br />~ <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />a~ <br /> <br />COMPANY 10 V 5 c 'I C k )..J ~A- L <br />~ State Cert. or Regist. , f( IJ 00 S$ .:L g 8> <br />City License Registration' / _~ <br />****************************************** <br /> <br />/ <br /> <br />KEGllANICAL <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />.***************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />