|
<br />APPLICATION FOR PERl'IIT
<br />CITY OF ZEPHYRHILLS
<br />BUILDING DEPARnlENT
<br />
<br />~.
<br />
<br />APPLICANT -=ld Ci.- R. r rJTER S~&,-:E.
<br />ADDRESS 35z..~ '1 H-LU Y 54-"l.>JESl
<br />
<br />PIl;NE C~ I~) I<? L. - L2.. fJo
<br />
<br />OHNER
<br />
<br />JOB LOCATIONJ--O ~ jl.. 5b ~1\c,,,, ~
<br />? 0 /q IPF~t.( .
<br />LEGAL DESCRIPTION: LOT(S) ,~ BLOCK
<br />
<br />LOT SIZWDx roo AREA SQ.FT. (ooC)
<br />
<br />SUBDIVISION
<br />
<br />PARCEL I. D. !F
<br />HORK PROPOSED:~Ne\o,l Construction _Addition _Alteration _Repair _Install
<br />_Sign/Temp. _Sign _I'love _Demolish
<br />PROPOSED USE: ~SinglC Family ~M/F _iF of Units . __H/H
<br />
<br />_Commercial
<br />
<br />_Indust.
<br />
<br />_S\vim. Pool
<br />
<br />Other
<br />
<br />BUILDING
<br />
<br />_Rest~urant & Health Department Approval
<br />
<br />SIZE: ~x~, I,;) '?f)
<br />
<br />Square Fee t,
<br />
<br />Height
<br />
<br />RESIDENTIAL:
<br />CmH-lERCIAL :
<br />
<br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS [, (1) SET ENERGY FORl-IS. **
<br />ATTACH (J) SETS OF BUILDING PLANS & (1) SET ENERGY FORt-IS, -;,*
<br />**COpy OF CONTRACT REQUIRED.
<br />
<br />i BUILDING
<br />YELECTRICAL
<br />.&HECHANICAL
<br />+PLUHBING
<br />TYPE OF CONSTRUCTION:
<br />
<br />:PERMTTS REOUESTED
<br />
<br />$
<br />
<br />V~luation of Total Construction
<br />
<br />AMP Service
<br />
<br />Florida Power Corp.
<br />
<br />_h'.R.E.C,
<br />
<br />$
<br />
<br />Valuation of Mechanical Installation
<br />
<br />GAS
<br />
<br />ROOFING
<br />
<br />SPECIALTY
<br />
<br />_Dlock
<br />
<br />_Frame _Steel
<br />
<br />Other
<br />
<br />FINISHED FLOOR ELEVATIONS: FT.
<br />
<br />**********"********************************
<br />
<br />~ r,ONTEAGTOR SEerION
<br />DliT!." L e; ~~ , rn~ .. ;~:~:n~ertH~~(eg:S~~ SiA?"
<br />
<br />Sign~ ~: ~ . City Lieen"e Hee;';''''''';'''' I.' ~ ;;.1/(
<br />
<br />~ * * ** ***** * ** '" '" ,',;,i,,~ i, i, i,,',,', ,'", ,., ,'", ,', ':,;, ,',,, /" '
<br />
<br />::':~N
<br />
<br />c~~
<br />
<br />Company Cti.--H JOItD A N
<br />
<br />~ State Gert. or Hegist. "
<br />
<br />City License ReGistration 0
<br />* J.. ._**** * J,*J. *****.L. ,,'- * _'. * * ," ," ,'. J. _'_,. _'. _'_ _', -'. ,', J. -'.
<br />.. .. . . ..... I.{..~ ""...{.............:'......
<br />
<br />JC LE:CTel C
<br />~S-
<br />
<br />PL1l1'-HlER
<br />~ c-
<br />Signat~--- -
<br />
<br />, Company' tJ~ r<. Y (h X4,J
<br />=~ ~ State Cert. or Rcgist, {f
<br />_~ _ City License Rcgistr0tion iF I ()~
<br />. * ::.'-; . -=- - **.. **...... **.. * * ** * .", '''d, " 'd, ."",
<br />
<br />~ . \
<br />
<br />Company 6~t-\-e.. ~ PRO'YPr-1\J c: ~ AI c /
<br />
<br />State Cert. or Regis t, i,~ ...c:::1
<br />ity License Rcgistration i;C-~ if/-
<br />,~*,~ ** , , * **,~ ** * * idd, * id", * ,;, ,d,,~ ,,,',;, i,,',;, I
<br />
<br />
<br />
<br />Company
<br />State Cert. or Regist, 0
<br />City License Rcgistr0tion 0
<br />
<br />OTHER
<br />
<br />Signature
<br />
<br />******************************************
<br />
<br />APPLICATION APPROVED BY
<br />
<br />PER~IIT OfFICER.
<br />
|