Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />r-:J- 'f - y f' <br /> <br /> <br />7g:J.~ 7f)J~ ' <br />}L-_ 335Y () <br /> <br />JOB ADDRESS <br /> <br />~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ---..Addition ---Alteration _Repair _Install <br /> <br />_Sign <br /> <br />----"ove <br /> <br />_Deaolish <br /> <br />. <br />PROPOSED USE: _5 ingle Faaily <br /> <br />----", F <br /> <br />_' of Units _"/H <br /> <br />_<=<-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Deparbaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />- - <br />~~\t <br /> <br />NLI~J ..~'U~: <br /> <br />. <br />f <br /> <br />- I <br /> <br />d OOr- <br />" <br /> <br />. <br />.~ <br /> <br />~/~.., ~, <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />. ..... <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <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 />/ tfcJ ' Ji) <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP 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 />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS'PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br /> <br />CONTRACTOR ~~ . , <br /> <br />aMlPAn uL~'r <br />State Cert. or Regi t. - S.a <br />City License Registration' ;;;II ~ <br />**~******************************** <br /> <br />Signature <br /> <br />COMPANY ~,J LtN..J I-::;:~C <br />State Cert. or Regist. , l' <br />City License Registration' I t:- ( <br />*******~~********************************* <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />********~-******************************** <br /> <br />Signature <br /> <br />MECHANICAL ~ COMPANY (',h~rJ;e PRA""-r-- .//7~ ...~. <br />/'J State Cert. or Regist. f Ch?~ffC" <br />Signature ~ City License Registration f ~____ <br />***.*****.********.***.*****.~************ <br /> <br />OTHER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />********~.***************.**.x************ <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />