Laserfiche WebLink
<br />APPLICANT <br /> <br />/J/f{~ c <br />~ L ~ <br />iil? .., .. 3 <br />~ <br /> <br />APPLICATION FOR PE~lIT <br />CITY OF ZEPHYRHII,LS <br />BUILDING DEPA~TMENT <br /> <br />feed <br />?o/a~ ,:Sr <br />()Q((ode <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D, ~fr <br /> <br />~ :2(/J ~ ( <br /> <br />?"-() <br /> <br />WORK PROPOSED:____New Construction _Addition _Alteration ____Repair _Ins tall <br /> _Sign/Temp, _Sign ____Move _Demolish <br />PROPOSED USE: _Single Family _M/F _4~ of Units __M/H <br /> _Commercial _Indust. _Swim, Pool Other <br /> <br />_Restaurant & Health Department Approval <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 />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP 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 <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT, <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert, or Regist, # <br />City License Registration # <br />****~******************* <br /> <br />{company <br />State Ce t, or Regist, # <br />City License Registration <br />.************************************ <br /> <br />BUILDER <br /> <br />Signature <br /> <br /> <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration 1 <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />*~**************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />