Laserfiche WebLink
<br />.' ~ <br /> <br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />LOT <br />OWNER'S NAME r ("i\"C .- " \ t( <br />OWNER'S ADDRESS :'1", ~, <~:. ,,)- <br />JOB ADDRESS '::; C\ v ~ \ -L <br /> <br />I ) '-->: ~\ \- <:- (' () (~ j'-) . <br />\~,-\I\\L \-- kl/c;f l~\':.ll <br />J I <br /> <br />PHONE ! "7 f r -,~ Iv r- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />~ /OrBLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. , <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ____Addition ----Alteration ~epair ____Install <br /> <br />____Sign <br /> <br />-.-Hove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____H/F <br /> <br />____, of Units -.-HIH <br /> <br />____COIIIIIlercial <br /> <br />____Indust. <br /> <br />____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: 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 />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />~ELEcrRICAL <br />-.MECHANICAL <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 />____PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ____FraJRe ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />*****************************************. <br /> <br />Signature <br /> <br />=:::~?($~ <br /> <br />. <br /> <br />COMPANY)( t:Ja.. a~ r ~ <br />State Cert. or Regist. # f::.-.Jt G't:)Oot:> ,/ <br />City License Registration 4# } g 7 <br />**.**.*........*..*.*.*****.*..*.**.**.**. <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />.******************.********************** <br /> <br />KECHANlCAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />***********~*******.********************** <br /> <br />OTHER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />