Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE V (D (/ //1 f- 0 t1 A, J2 rV ( S PHONE XI '1 - 7 X:J - 9 ()O J <br />OWNER t S ADDRESS""'--- (" :J- ~ I CO 'Cl U1 .R. (j .S 1 ' <br />JOB ADDRESS ,~ ~ 1-, r-e d <br />LEGAL DESCRIPTION: LOT(S) ~ J d- (eb"'<.~CK SUBDIVISION <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIN FROM. PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction -4..Addition --A1teration _Repair _Insta1l <br /> _Sign _Kove _Deaolish <br />PROPOSED USE: -L,single Faai1y ---1t/F --1-. of Units _K/H <br /> _~ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant 5: Hea1t:h Departaent Approval <br />DESCRIPTION OF WORK: J/// <br /> <br />BUILDING SIZE: / d..- X 40, 1-f ~(j <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COKKERCIAL : <br /> <br />ATTACH (2) PLOT PLANS 5: (2) SETS OF BUILDING PLANS 5: (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS 5: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~LDING <br /> <br />~.. <br />$ J ( :15 g::O- <br /> <br />PERMITS REOUESTED <br /> <br />Va1uation of Total Construction <br /> <br />_ELEC'I'RICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~CllAliICAL <br /> <br />$ <br /> <br />Va1uation of Kechanical Installation <br /> <br />_PLUMBING GAS,.4 ItA I~OOFING <br />TYPE OF CONSTRUCTION: _B1ock ....)LFraae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: ~ Ff. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? ...x.. <br />YES NO <br /> <br />****************************************** <br /> <br />-CONTRACTOR SECTION <br /> <br />RlIT1DllR COIIPAIIY ~ ~) <br />~ Q ~ State Ce . or Regist. . <br />Signature ~.. City License Registration . <br />****~*********************************** <br /> <br />RT .Io:C'l'RICIAN <br />SiQDAture X <br />PLUMBER <br />Signature X <br />MECHANICAL <br />Signature X <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />****************************************** <br /> <br />OTRF.R <br /> <br />Signature <br /> <br />2/~ <br /> <br />COMPANY <br />~ State Cert. or Heglst. . <br />City License Registration # <br />********* ..************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />