Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHlLLS <br />BUILDING DEPARTMENT <br /> <br />'d--1? <br />"'~ <br />10 <br /> <br />OWNER' S NAKE <br /> <br />gtP~8/1.e/J <br />573/ <br />5"73/ <br /> <br />h~;/eb <br />/J?c~ 5"'-1-. <br />S"-J- <br /> <br />~/lAl <br /> <br />PHONE <br /> <br />I ?/3-?F3;;Vh")/ <br /> <br />OWNER' S ADDRESS <br /> <br />/f' C1 <br /> <br />LEGAL DESCRIPTION: LOT(S) ~ 5; b BLOCK .?U <br />PARCEL 1.D.# //.-t5l6-.;?/-oo/~'- Ogc5() <br />WORK PROPOSED:_New Construction /~ddition -...Alteration <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION 07 (J'f12~tI,v/',1///S' <br />- ocr470BTAIN FROM pROPERTY TAX NOTICE) <br /> <br />--Jepair _Install <br /> <br />_Sign <br /> <br /> <br />PROPOSED USE: .~ingle Faaily <br /> <br />---ltove <br /> <br />->>eJIOlish <br /> <br />_KIF <br /> <br />_, of Units _K/H <br /> <br />_ec:-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />;::bo/ 1'1>>1) EAJ(!/osee <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 />$ J.-J.. 3 ;7 J <br /> <br />Valuation of Total Construction <br /> <br />_ELEcnuCAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-1IECIIAIlICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />~UMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />Signature <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COKPANY I-l:! n I '( r ) '-~ J, 6)oci .s <br />State Cert. or Regist. , C:PqJ.J.)C).SS '-/.1- <br />'\ City License Registration , ~/~ <br />.......................................... <br /> <br />/" <br /> <br />BmlllRR <br /> <br />RT.Rcnu~,.: . COMPANY U eA.-I...,".,. ~LIIA j~ / ~ L ~"-- C!c. .....r <br />, ~ ~ State Cert. or Regist. , -r= <br />SignAture L4;/VL/JL.~ La j /' City License Registration' J~ <br />......................................... <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />.......................................... <br /> <br />Signature <br /> <br />\/ <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />.......................................... <br /> <br />~ CIHlPANY j/NLU /-e'J tfl /t" II/" <br /> <br />--- State Cert. or Regist. , <br />City License Registration . /1_ 4 <br />.. ...................................... )f <br /> <br />Signature <br /> <br />OTRRR <br /> <br />Signature <br /> <br />~ <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />