Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />1,r<6' ~'70- <br />,. ,. 1 Jb <br />1C( '} <br /> <br />OWNER'S NAME ~ ~~ f-~I --(#tZM..t.;~ <br /> <br />OWNER'S ADDRESS 0-71 9 I ~rk ..f::/. <br /> <br />JOB ADDRESS~U. u'" - <br /> <br />PHONE ?'IS - 7tf';L - .3.)~ <br /> <br />LEGAL DESCRIPTION: LOT(S) /~.;t. <br /> <br />BLOCK 6~ SUBDIVISION <br /> <br />PARCEL LD.' 11-~-::1J-I:JO'O~"'OO{O (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction ~ddition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />_<=<-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departllent Approval <br />DESCRIPTION OF WORK: i-::> a f ' 'fJ I~ d cJ t- I? /u 0-t- <br /> <br />. Jd u <br /> <br />t-------- <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 />$ ~J & b'tJ . Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLlJHBUIG GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUcnON: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIllISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEct IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br /> <br />CONTRActOR SECTION <br /> <br />COMPANY -; .{ /V <br />~ ~tate Cert. or Regist. . <br />/f City License Registration . <br />..............*.*******...*.*.....**....*. <br /> <br /> <br />7- <br /> <br />J/ <br /> <br />BUILDER <br /> <br />RT.F.CTRICIAIf COMPANY <br />State Cert. or Regist. . <br />Sionature City License Registration . <br />........***.*..*.****............*.*...... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration t <br />............**..*.*..**.........*..**.*... <br /> <br />MECHAHlCAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.................*...*............**...... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration # <br />...............*..................*....... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />