Laserfiche WebLink
<br />f "'., <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />LOT <br />OWNER'S NAME <br /> <br />i:: <br /> <br />r-Y\ 'C:. 1,1"- Ct <br /> <br />leA <br /> <br />PD,; h + c. C (){~ yo. <br />A rn t:- + h '( "r W CI. LJ <br />/ <br /> <br />PHONE <br /> <br />? tf -c)-./ 7'(- <br /> <br />JOB ADDRESS <br /> <br />'), '1 \0 0 d-. <br />:;;rmc:..- <br /> <br />~~ <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />OWNER'S ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL I.D.f <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~New Construction _Addition -Alteration ~epair _Install <br /> _Sign --.-JIove _Deaolish <br />PROPOSED USE: _Single Faaily --.-JI/ F _' of Units ---1'l/B <br /> _eo..ercial _Indust. _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 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 /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />~ELEC'fRlCAL <br />---1IECBANICAL <br /> <br />100 <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FlRISBED 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. t <br />City License Registration f <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />:'::~7~ <br /> <br />. <br /> <br />COMPANY'/( ~ ~ r ~ <br />State Cert. or Regis t . # /:o-S () 000 C 'i <br />City License Registration f ) g 7 <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration f <br />***********~****************************** <br /> <br />OTHER COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />