Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMEln' <br /> <br />OWNER'S NAME Kl".t'.... ~ ~f"Y\.~ +kc... ~e..f'(c....S <br />OWNER'S ADDRESS "I?;;ll ~ l.-~ 't"<:.-h. Dr <br /> <br />PHONE ~J3) 7~1- S-Ii Se, <br />Zer~yrh~ \h r( <br /> <br />JOB ADDRESS <br /> <br />SA-I"'\e... <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />-'PARCEL I. D. , <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED: New Construction _Addition <br /> _Sign Move _DeIIOlish <br />PROPOSED USE: /Single FuBy _M/F _' of Units <br /> _Co_ercial Indust. - Swill. Pool <br /> - <br /> <br /> <br />_Repair ____Install <br /> <br />____M/H <br /> <br />Other <br /> <br />_Restaurant & Health Departllent Approval <br /> <br />BUILDING SIZE: <br /> <br />~, <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ElfERGY FORMS... <br />COMMERCIAL: AftACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS... <br />..COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REQUESTED <br /> <br />~/BUILDI~G <br />vELECTRlCAL <br /> <br />$ <br /> <br />9 "0 ~ Valuation of Total Construction <br />AMP Service Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />_MECHANICAL <br />~ PLUMBING <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block ~Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration, <br />.......................................... <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration, <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />NECHANICAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration' <br />.......................................... <br /> <br />JTIIER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration' <br />.......................................... <br /> <br />lPPLICATION APPROVED BY PERMIT OFFICER. <br />