Laserfiche WebLink
<br />~ <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />f/KF .29:'u~ <br />6 -;J 1)- 9? <br /> <br />OWNER'S NAKE ~ lJ 5S 'E 1- L YV\. <B Row ,...( PHONE "-~7'3 () cl-t: 2. L{~ <br />OWNER'S ADDRESS 3::<'35 AbjG:EL~ COC>~T Z'HILLS FL 3'3~ll-( <br />JOB ADDRESS 4- 7 'B I ,51 L VC''f2 c~ I R ((1.:::) Z'\ HILL.s: r= 1 :3,:3 5 Lt- \ <br />LEGAL DESCRIPTION: LOT(S) BWeK SUBDIVISION CH lL\ l FOl--r, V\Ll.-~ <br /> <br />PARCEL LD.' <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction ____Addition ____Alteration <br /> <br />____Repair ____Install <br /> <br />____Sign <br /> <br />_Hove <br /> <br />_Demolish <br /> <br />PROPOSED USE: ...1Ls Ingle Faaily <br /> <br />_H/F _' of Units ____HID <br /> <br />____CoI8ercial <br /> <br />_Indust. _Swim. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: R ~ (r , ST K OJ. r= D yY\ 0 DEL <br />.I I 0' <br />BUILDING SIZE: 34 x~-:S'f) 1703 Square Feet, 0 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 />PERMITS REOUESTED <br /> <br />~BUILDING <br />~LECTRICAL <br />J MECIIAMlCAL <br />~PLUKB~NG <br /> <br />$ <br /> <br />100 <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 />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: LBlock _Fraae ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />/' <br />IS PROJECT IN FLOOD ZONE AREA? \~. <br />YES NO <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY <j~U SSELc 2? ' (j~ \~O~,\. 1/,\ <br />c:J C:J State Cert. or Regist.' . (t Co -!, (, \ \ <br />11IL1)~Q tl 6Y\, J') 'Yf"l L-'-A City License Registration' 7_Lf- '3 <br />****************************************** <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br />C) <br />Si2ll8ture 7\.11 f).!) Q tt <br /> <br />COMPANY Cf< lJ 55 G LL tv, )~ QOLl.I/'..\ <br /><;) State Cert. or Regist. , ;:c 11 (')() I 0 rJ~ , <br />~) t ::>\-OLl.~ City License Registration I \ L-? <br />****************************************** <br /> <br />Signature <br /> <br />~ <br /> <br />COHPANY ex U <:;S G L L }Yl. r'J2> R () LAJ l---t <br />N'\ (';) State Cert. or Regist.' CJ.: CO ~;q q (~ (. <br />"1, .I'J)vLL-'V\- City License Registration' 10"7 <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />QL1WlL <br /> <br />COMPANY C;~ U <;S 6L l IV' 7) R. (\ ll.J I,l <br />'v1 <h State Cert. or Regist. * C. t1 CU Lf-I z.:; '+- <br />r r t. .1- it-V1.A-"- City License Registration' 1/ <br />***********~****************************** <br /> <br />MECHANICAL <br /> <br />OTHER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration I <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />