Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />'\ <br /> <br />OWNER'S NAME 0 r~~<'J-e-- IJ/O s s {)h'} If "9A/~ A <br />, <br /> <br />OWNER'S ADDRESS lIIi>JS- /J'/(}..rJ'O/Vl tr/(,Icf. <br />JOB ADDRESS J 7710- ;1.~--;ll/-~6 ;Jj/ff/9 <br /> <br />(.9 ~.,l() 5' PHONE <br /> <br />7,i?~ (?OO"/ <br /> <br />;< €/// /A. 33.s-t;// <br />. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ~lteration -X-Repair _Install <br /> _Sign _Move _Deaolish <br />PROPOSED USE: _Single Fallily _M/F L, of Units _M/H <br /> _ec:-ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />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 />7 t;/1 ~ <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'J'RlCAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />Valuation of Mechanical Installation <br />X ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fralle _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 />CONTRACTOR SECTION <br /> <br />BIJTlJ1ER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />F.I.RC'J'RlCIAN <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <br />****************************************** <br /> <br />SilmAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.****************************** <br /> <br />Signature <br /> <br />Signature <br /> <br /> <br />OTHRR <br /> <br />COMPANY ~vI-(Jlj 1001.-';7 G. <br />State Cert. or Regist. ....CCC ()J-? r S-~ <br />City License Registration # //10 <br />* ********************.**.***..**......... <br /> <br />APPLICAT <br /> <br />PERMIT OFFICER. <br />