Laserfiche WebLink
<br />))-.1' 32..1J <br /> <br />'" <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />LO T f) <br />OWNER · S NAME L C\ r< oC- '" ~ <br /> <br />OWNER'S ADDRESS '~cl lp"3 D C ~ G{ V"\ (_-e r R {/ VI A <br /> <br />JOB ADDRESS -<tr m : <br /> <br />LEGAL DESC1UPTION: LOT(S)-~_~~ BLOCK <br /> <br />PARCEL I.D.f <br /> <br />PHONE <br /> <br />''lK&-~I'i~ <br /> <br />~~3 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign <br /> <br />____Hove <br /> <br />____Deaolish <br /> <br />PROPOSED USE: ____Single Faaily <br /> <br />____KIF <br /> <br />____, of Units _K/H <br /> <br />_COIIIBercial <br /> <br />_Indust. <br /> <br />____Swim. Pool _Other <br /> <br />____Restaurant & Health Department 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 FORKS. <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 /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />~ELECIRICAL <br /> <br />100 <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />____PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Fruae _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 />COMPANY <br />State Cert. or Regist. # <br />City License Registration f <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />::CTRI::zf!&;.%~ COMPANY")( ~ Ct~ r etlf <br />State Cert. or Regist. # /::o-SO,",OCi:> 'I <br />smatu . J 62/w City License Registration # ) g 7 <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 />OTHER COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />