Laserfiche WebLink
<br />OWNER' S NAKE~ <t" fV'1J,. ~ CJ~/T!Lf~ ~ JJ lUJ Nf)7PHONE <br />OWNER' S ADDRESS 9,t:; be.; L()~'t.. LA ~LO iJl, JJ Y <br />JOB ADDRESS 33L11 fV\A L.ftC.l1.1Jz. D ~. <br />LEGAL DESCRIPTION: LOT(S)~ BLOCK <br />PARCEL LD.' ,ZL.{ ~.tb - 2. \ ~ 0000 <br /> <br />g- ()b d- B 'I Cf :>-- 'I g <br />APPLICATION FOR PERMIT ~ J~ "20 - 1 ' ~ <br />CITY OF ZEPHYRHILLS jp./" I ... 7 Y '1 <br />BUILDING DEPARTMENT q, () '1 / <br /> <br />~A <br />I <br />~g-bO-Cfb53 <br /> <br />SUBDIVISION ~IVJ}'~ ~lJJTL <br />- a:::> , - c:>O - Lt=1 (OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~New Construction .L!LAddition _Alteration _Repair _Install <br /> _Sign _Hove _Deaolish <br />PROPOSED USE: _Single Faaily _H/F _' of Units ..2LH/H <br /> _C~ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Deparbaent Approval <br />DESCRIPTIOII OP IillJlK~L MI&EJ) sc.wA\. MU{ 9~~ ~\A1i'<T <br />J I D \ULWfty <br />BUILDING SIZE: X. Square Feet. 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 />$ ,,5,Ct){).ct:J <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----.JIECHARICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING pt.( Jrf} JA1J~ECIALTY <br />TYPE OF CONSTRUCTION: _Block ~FraJae LSteel ~ther <br /> <br />FIBlSBED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />KIITloOER <br /> <br /> <br />CONTRACTOR SECTION <br />COMPANY SHULL CCWS L~ \1t-T, 0 JJ <br />State Cert. or Regist. . <br />City License Registration' .2::J- ~ fa <br />****************************************** <br /> <br />/ <br /> <br />Signature <br /> <br />F.l.F.CTRICIAN , COMPANY AC- ~ Z.-' ~c..1 V(, L _ <br />. \ (l ' L <br />' \ 0 State Cert. or Regist. , <br />SiQllAture \ \~C ~(.J '~:C 00Vl. City License Registration' I1JV <br />* **************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />