Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />.11-<-1 ? f~~-t3 h . <br />Fr--31--Y y <br /> <br />OWNER'S NAME M IJ.Sj~~JI ( <br /> <br />o A/(,> <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br />JOB ADDRESS 361 0 euAkE <br /> <br />R.LP& E <br /> <br />5"1. <br /> <br />Lo-r <br /> <br />17-2. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL I.D_'.2'1.~ ~/)S<J -/.J/)eJiJO -J 2 J.- <br />WORK PROPOSED:____ ew Construction ____Addition <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />----Alteration ____Repair ____Install <br /> <br />____Sign <br /> <br />____Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />_M/F <br /> <br />_, of Units <br /> <br />-"-~ <br />~her <br /> <br />____ColIlIIlercial <br /> <br />____Indust. <br /> <br />_Swim. Pool <br /> <br />____Restaurant & Health Department Approval <br />DESCRIPTION OF WORK:~C;:t1-pe,v fLDDflIl . CA-IlIUZlt V -(l.oDMj <br />( <br /> <br />012-1 Vewfly <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 />~ <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />goo.oo <br /> <br />Valuation of Total Construction <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />____MECHANICAL <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. ____Fr8JIe _Steel 111A.JlYtl Jl/VWL 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 />Signature ~ &oL. <br /> <br /> <br />,J ()F CIS)/T1IAt- t=(. ( <br />Co 5"77 2- <br />t 7~ <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. # <br />Si2llature City License Registration # <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 />~ COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />