Laserfiche WebLink
<br />. ..." <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTHENT <br /> <br />OWNER 'S NAKE /YJ /}/2/Y ;t/ ,A/ tfTbM Il// <br />OWNER'S ADDRESS ~ /5'2- /7 .J- S/ <br />JOB ADDRESS .5",t::)J?\ ..J. <br /> <br />PHONE ;g/S -? <::YZ .-.3 Sf/I <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />B~SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ~ddition --Alteration --J.epair _Install <br /> <br />_Sign <br /> <br />--.JIove <br /> <br />_DeJIOlish <br /> <br />PROPOSED USE: _Single F8IIily <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_c.:-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant I( Health Departaent Approval <br />DESCRIPTION OF NORK: R.e;:;~[ '€ Z-S 7i N A ri C fl,cf Sv.s ~ '"^ <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 I( (2) SETS OF BUILDING PLANS I( (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS I( (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'l'RICAL <br />~CIIAlfICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />N.R.E.C. <br /> <br />$ &~ttJ ()t dO Valuation of Mechanical Installation <br /> <br />--..PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUcnON: _Block _F1"8II~ _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECl IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />RIITIJlER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />F.1.RCTRICIAR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />............................*............. <br /> <br />Si MUll ture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration' <br />.......................................... <br /> <br />COIfPAllYU..!'7:eI+/ &ft~ LO <br /> <br />State Cert. or Regist. . ~:3 4 <I <br />City License Registration . c;).. J..- J- L{ <br />.......................................... <br /> <br />Signature <br /> <br />=ur~rD~ Jll~ <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />