Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER' S NAttE <br /> <br />,,~f!J[lA IitVdP <br />,~~056 UtJP Ro <br /> <br />PHONE <br /> <br />ZEfll/1fJ!/ilS <br />i <br /> <br />7%;J - !f1() / (!t ?o ) <br />r-/4. 3351/ <br /> <br />OWNER' S ADDRESS <br />JOB ADDRESS (~rnE <br /> <br />LEGAL DESCRIPTION: LOT(S) ,5 BLOCK SUBDIVISION IA /lit/tUlle/) IA );NO <br />PARCEL LD..J1.-J,h-J'I-fJ/fI)- OOC(:t) -{Y)~f5 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration ~epair ~tall <br /> _Sign -.JIove _Deaolish <br />PROPOSED USE: ~ingle Faaily _KIF L' of Units -1:::::Jii H <br /> _~ercial _Indust. _Swia. Pool _Other {, <br /> 'I <br /> <br />_Restaurant & Health Departaent Approval <br />DEScRIPTION OF WORK: 1ih1l/1Jfi1( iui?LfJ l-!otkSJ1)6 :I;i~P1LIA71tJtJ <br /> <br />BUILDING SIZE: cl7 xlJ:1L, /6/d Square 'Feet, /6 Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />~UILDING <br />~cnuCAL <br />~CHAlO:CAL <br />~~NG <br /> <br />Valuation of Kechanical Insta~~~on <br />wA(( €12 ~ ..:;> en C( <br />ROOFING OfWeR SPECIALTY <br />h'Y-W(}f~ 11C1J51IJ& <br />TYPE OF CONSTRUCTION: Block ~iaae _Steel . _. , ,_r~ <br />I <br />FIllISBED FLOOR ELEVATIONS~-3 FT. IS PROJECT IN FLOOD ZONE AREA? <br /> <br />s4~ ~.v Valuation of Total Construction <br />CJJ() AKP Service v-;iorida Power Corp. <br />S cQ,lft) <br /> <br />W.R.E.C. <br /> <br />GAS' <br /> <br />YES <br /> <br />NO <br /> <br />****************************************** <br /> <br />PLUMBER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY P-~Cf; /kmE a/IJ1E~ <br /> <br />State Cert. or Regist.' OJ!JJ%oS' . <br />City License Registration . .1 ;> ~ b <br />**************************************** <br /> <br />COKPANY Ill) R1?)j\J E[[(1rJt . <br /> <br />\. / I ~ State Cert. or Regist. . <br />~. AJ7L ,- City License Registration' <br />* **************************~********** <br /> <br />COKPANY 111 d S L 0 <br />State Cert. or Regist. . <br />City License Registration t cJ..J..~O <br />****************************************** <br /> <br /> <br />~ <br /> <br />BUTT .DEB. <br /> <br />Signature <br /> <br />F.T .RC'l'RICIAN <br /> <br />SilmAture <br /> <br />,2..:l. ~ <br /> <br />~. <br /> <br />Signature <br /> <br />,,/ <br /> <br />Signature <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br /> <br />~ <br /> <br />KECHANICAL <br /> <br />OTRRR <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />.t",:;"" <br /> <br />.f <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFI9ER. <br />\;. <br />