Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />r ; 'i>~ <br />~.1J~~ <br />g--_3/-fr <br /> <br />OWNER I S NAME <br /> <br />fV'J r+:S~~'1 c, <br /> <br />eA-kS <br /> <br />PHONE <br /> <br />OWNER I S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LA CDS.,&. <br /> <br />5/" <br /> <br />Lor <br /> <br />1'"57 <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL 1. D. t :;.1-:2.6 -;:J..f - () o.s o-co l)Oo - /.3 ? <br /> <br />WORK PROPOSED:~ Construction ____Addition <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />----Alteration ____Repair ____Install <br /> <br />____S ign <br /> <br />____Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____MfF <br /> <br />____, of Units <br /> <br />L <br /> <br />_Other <br /> <br />____COtuIIIercial <br /> <br />_Indust" <br /> <br />_Swim. Pool <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: V - (L&()yl.^ I 1":/1-12 PtJ~T,. <br /> <br />DfLlvtf wAV <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 />$ ~3 00 . 00 <br /> <br />Valuation of Total Construction <br /> <br />____ELEcrRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W,R.E.C. <br /> <br />____HECHANI GAL <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 _Frame _Steel <br /> <br />fJw hl( ,vtIM Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT" <br /> <br />IS PROJECT IN FLOOD ZONE AREA1 <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY 13'i <br />qt.:J ~ State Cert" or Regist. # CO <br />~ City License Registration it <br />****************************************** <br /> <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert" or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Si~ture <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert" or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ME CHAN I CAL <br /> <br />Signature <br /> <br />COMPANY <br />State Cert" or Regist. # <br />City License Registration' <br />****************************************** <br /> <br />Q1ll.E'.R <br /> <br />Signature <br /> <br />COKPANY <br />State Cert" or Regist, # <br />City License Registration ~ <br />*****************************************. <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br /> <br />'. <br />