Laserfiche WebLink
<br />:,t ':,:.:,1,'. . <br />APPLICATioN FOR PE'RNIT <br /> <br />CITY OF ZEPHYIUIILLS <br /> <br />BUILDING DEPARTMENT <br /> <br />APPLICANT tQ {J' SAL e/<( 4' <br />ADDRESS ~ ~ I & U I I Ie.. e. ItJ}' <br /> <br />. .' : :! ..!:. , <br />l.v t1/.:,p' a A 1'( (~ <br />, <br /> <br />,,' <br /> <br />"'\' ". <br />,";:: _. ~\: ~ . ". .' I:.' <br /> <br />PHONE <br /> <br />7 F? >f- ,- .3 Cj q S ~, <br /> <br />,'/ <br /> <br />'. ',:1;' ;':':':'l.i <br /> <br />" <br /> <br />OWNER <br />. '17 <br />JOB LOCATION SL~ e~'1 Hal/ow I <br /> <br />, , <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ.FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D .1J <br />WORK PROPOSED: ~ew Construction <br /> <br />" <br />_Addition <br /> <br />~Alterotion <br /> <br />_Repair <br /> <br />I./" <br />____Install <br /> <br />_Sign/Temp. <br /> <br />---,,:Sign <br /> <br />_~Iove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />~/F <br /> <br />_1F of Units <br /> <br />.,_l'I/H <br /> <br />_Commercial <br /> <br />--.:-Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & IIealthDepartment Approval <br /> <br />x <br /> <br />, ; <br /> <br />Square Feet, <br /> <br />Height <br /> <br />rWILDING SIZE: <br /> <br />RESIDENTIAL: ATT.ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS << (1) SET ENERGY FOIU-IS.** <br />COM1'IERCIAL: ATTACIl (3) SETS, Of' nUILDING PLANS & (1) SET ENERGY FomlS. H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />, Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AHP 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 />~ <br />~ <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br />" <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 I <br />nllJl.nER U J e "-'~ ~ ~ . Company ;..; .el(r<. r /'if B-1-(; f.;-:J- S~ "'-VI L f' <br />State Cert. or Regist. It __ 0..... _X;:,/4 <br />Signatur ~ j . City License Registration 1/ 41-? <br />***u******************n~*n*n****~***~*~*~~ <br /> <br />ELECTRICTAN <br /> <br />Company <br />State Cert. or I~cgist. 1/ <br />City License Registration i~ <br />*****~************************************ <br /> <br />Si!?nature <br /> <br />Company , <br />,State Cert. or Regist. ~ <br />City License Registration n <br />****************************************** <br /> <br />,PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. il <br />City License Registration U <br />****************************************** <br /> <br />l-lECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or ReGist. 0 <br />City License Registr.ation n <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED DY <br /> <br />~****************************************~ <br /> <br />11~1.~',(A~ . " <br /> <br />PERNIT OFFICER. <br />