Laserfiche WebLink
<br />APPLICATIOIIiI FOR PERKIT <br />GI'JY OF ZEPHYRllILLS <br />BllfILDIRG DEPARIIIEIIiIT <br /> <br />OWNER'S <br /> <br /> <br />;7J~~-133 3 <br /> <br />---y -", - c// <br />-/4. J.:)J / I <br />./ ~S V'/ <br /> <br />SUBDIVISIOB ~;:/P/-/:d. g~~..."....- <br /> <br />OWNER'S MAKE /~~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOI'(S) <br /> <br />PARCEL I. D. f <br /> <br />:.{ ,;; {.. r/ / - /1 / /. ,"" /2 , <br /></ l'r ./. (' .-- /'{'?:1, L\0.. ~ ''/ .~, ( <br /> <br />WORK PROPOSED :~lIiIetil Construction -.JWdition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />---1Iove <br /> <br />_D~lish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />. dS....-K/H <br /> <br />_<=<-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Restaurant &- Hea1th >>epan:.ent Approval <br /> <br />BUILDING SIZE: <br /> <br />L/t/ X :-;( J <br />, <br /> <br />xdd <br /> <br />~e Feet. <br /> <br />4,~ <br />/ <br />&- (1) SET <br />FORKS. ** <br /> <br />Height <br /> <br />RESIDENTIAL : <br />cottKERCIAL : <br /> <br />ATTACH (2) PLOt' PLAliS &- (2) SEI'S OF BUILDING PIJUilS <br />ATTACH (3) SEI'S OF BUII.DlllG PIJUilS &- (1) SET ENERGY <br />**COPY OF COIfTRACT IUlQlIlTRIlD. <br /> <br />ENERGY FORKS.** <br /> <br />PERl!nTS REOUESTED <br /> <br />,~ BUILDING <br />~ELECTRICAL <br />,.jLHEGHAlUCAL <br />~PLUKBING <br /> <br />$ <br /> <br />zj <br />),(/ tIt' i.' <br /> <br />Valuation of Total Construction <br /> <br />1.71.1 AMP Service Florida Power Corp. ~ W. R. E. C . <br />$ r2t Jt'z' Valuation of Kechanica1 Installation <br /> <br />GAS <br /> <br />KOOFDlG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTIOR: _Block _~ _Steel <br /> <br />/) ;, /', xlt'J~' i . <br /> <br />Other <br /> <br />FIIfISHED FLOOR ELEVATIOIIiIS: <br /> <br />FT. <br /> <br />IS PKOJECT IN FLOOD ZOIiE AREA? <br /> <br />'* <br />YES NO <br /> <br />******............**.................*.... <br /> <br />COIlTKACIOR SECTION <br /> <br />BUIIJ)ER l,/J // COl!IPANY,#-A //c/I 02JJd/L /)/c) , <br />,;0I~tuj (jPd<< State Cert. or Regist. . <br />Signature 1I!k.::~:/ItIic-l6") City License Registration , <br />.......................................... <br /> <br />//'1.1itfT //.. ~'-~ <br /> <br />.?~, <br /> <br />COl!IPAlIiY (7' II JUf/ <fl"', ;41.,.U'/'U ' <br />_ / St:ate Gert. 0 egist.' ~ <br />r(-, City License Registration f ~ <br />) .......** .......**...................... <br /> <br />.PLOKBER U /} COl!IPARY /ij:/~!'i-/~$A/ <br /> <br />S. (/ ! (I>e h) J'1XO ^ . (k S~te <<:ert. or R~gist. _, ~ <br />19naturY. 0/1 -&.. C1ty L1cense Reg1sLrat.1OD ... <br />..................................*....... <br /> <br /> <br />Si <br /> <br />/{lg <br />/ <br /> <br />COl!IP.MJY74j;i'~ .ftJ//J~ &/J I~! C <br />St:ate Gert. or Regist.. 1 f <br />City License Registrati,on f ;7,'{" <br />....... .........................*........ <br /> <br />,. fl. ? :=:n ee1"~r 1e~=~~/c <br />,~~~'b, ~j fr~UCUI City License Registration' ~F <br />.........~........*.................*....* <br /> <br />APPLICATIOR APPROVEO BY '71~~~A~ <br /> <br /> <br />Signature <br /> <br />0'I'1IF.R <br />Signature, A(} <br /> <br />PERKIT OFFICER. <br />