Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />nR f MR5 PI<. eriE-a <br />';:P1EI?JlLD /"0./).)) .AT) r ? c,. <br /> <br />PHONE <br /> <br />APPLICANT <br /> <br />OWNER <br />JOB LOCATION ;;:;/YTEI?J}jj) ;:?o/tVTLoT?t- LOT SIZE~ xtS AREA SQ.FT.""3h" <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.4~ <br />/ Z 2.X /;:3 ..s Ln.13 <br />WORK PROPOSED:~New Construction ----Addition ----Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____sign ____Move. ____Demolish <br /> <br />c <br /> <br />PROPOSED USE: ____Single Family <br /> <br />~/F ____# of Units -----H/H <br /> <br />____Commercial <br /> <br />____Indust. . ____Swim. Pool Other <br /> <br />____Restaurant & Health Department Approval <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 />**COPY OF CONTRACT REQUIRED. ' <br /> <br />PERMITS REQUESTED <br /> <br />____BUILDING <br />~ELECTRICAL <br /> <br />$ 2/8-1, [/0 <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />____MECHANICAL <br />____PLUMBIt{G <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />..... <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br />_I. _ CONTRACTOR SECTI~ / <br />BUTI.DEll ~ Cto NS.I Company ~'S CvTVsT <br />~ ~ / /' State Cert. or Regist. i~ exeo ~3<fGI <br />Signature ~.L.~ City License Registration # I--;'? <br />.......................................... <br /> <br />F.LF.CTRICTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Sirznature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLlJMRF.R <br /> <br />Signature <br /> <br />. <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br /> <br />" <br />