Laserfiche WebLink
<br />; <br /> <br />l), <br /> <br />APPLlCA"['IO~ FOR PERMIT <br />CITY OF ZEPHYRITILLS <br />BUTILDISG DEPAR1HR~ <br /> <br />OWNER'S NAH.E SO fhJ <br />OWNER'S ADDRESS 5' r; If ~ <br /> <br />JOB ADDRESS <br /> <br />(1. <br />gr{ S1- <br />S@YVJ i <br /> <br />rPlTt2T/1Z(LJ U-- PIIONE 7 g ~-6id. 7 <br />~ '/~h/ I/r ,rC! 3 3S-~o <br />I / ' <br /> <br />LEGAL DESCRIPITON: LOT(S) <br /> <br />BLOCK <br /> <br />S(])BDIVISIO~ <br /> <br />PARCEL I. D. # <br />h"ORK PROPOSED:_~~ Construction _Addition _Alteration ~Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_De~.lish <br /> <br />PROPOSED USE: <br /> <br />I~ ingle F3IIIily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_H/H <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Swi.. Pool <br /> <br />Other <br /> <br />_Restaurant & Bea.lth Deparblent Approva.l <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMHERCIAL : <br /> <br />ATTACH (2) PLOT PL.AIIS & (2) SEIS OF BUILDING PL.AIIS & 0) S:E::T ENERGY FORMS. U <br />ATTACH (3) SlITS OF BUIlJ)DiIG PL.AIIS &: (1) S:E::T gERGY FORMS. u <br />uCOpy OF CONTRACT REQUJlRED. <br /> <br />PElmITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />VaIuation of Tota.l Construction <br /> <br />_ELECTRICAL <br /> <br />AHP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECHAmCAL <br /> <br />,$ <br /> <br />VaIuation of Hechanica.l Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION!: _Block <br /> <br />_Fr3llle _Steel <br /> <br />Other <br /> <br />FIlIiISHED FLOOR ELEVATIOINIS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />~*****~***~~******~~~*~**~~~*~*~~********* <br /> <br />YES NO <br /> <br />CDrrn'RACY'OR SECT'ION <br /> <br />BUILDER <br />SillW'tun,X ~ <br /> <br /> <br />ELECTRICIAN <br /> <br />COHPANIY <br />() 0 ~ State Cert:. or Regist:. # <br />..(p lJ ~~ ) Cit:y License Registration #I: <br />**********~***~~~***************~******~** <br /> <br />Si <br /> <br /> <br />CUllPANY <br />State Cert. or Regist. #I: <br />Cit)~ License Registration I <br />****************************************** <br /> <br />PLUlKBER <br />SillW'tu~~ <br /> <br /> <br />KECHAHICAL <br /> <br />CDMP.k\NY <br />/) // ra;-h State Cert:. or Regist:. :i# <br />AJ? U a,. -dU City License Registration' <br />***** *********************************** <br /> <br />COlIPArHlY <br />State Cert. or Regist. I <br />City License Registration I <br />*******~~****************~*********~****** <br /> <br />Signature <br /> <br />OTIIER <br /> <br />CC>>IPANY <br />St:ate Cert. or Regist. :i# <br />Cit:y License Registration , <br />**~***~************~***~~****~************ <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERHIT OFFICER. <br />