Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />.b ~TT,/ tL 2JllrJ! j) ;?&:$:. <br /> <br />I <br /> <br />5 c; () 3 Ic.(t<- gr- <br /> <br />PHONE <br /> <br />?S~ <br />< <br /> <br />O(J '7 g <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL loD.' <br />WORK PROPOSED: New Construction _Addition Alteration _Repair /Install <br /> - <br /> _Sign Move Demolish <br />PROPOSED USE: Single Family _M/F - # of Units _M/H <br /> Commercial Indust. Swim. Pool Other <br /> - ---- <br /> <br />_Restaurant & Health Department Approval <br />BUILDING SIZE: /0 X~, ?a,c/!-o 5/~ Square Feet, <br />l <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REQUESTED <br /> <br />BUILDING <br /> <br />$ <br /> <br />'//\ q'.r ~ <br />[~ V~ 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 Frame Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />> COMPANY .s (; ^I s T~-r~... <br />~~ ~ ~) , State Cert. or Regist. # <br />~~l ~~ City License Registration # <br />**************************************** <br /> <br />If ~1tI if t'J1j rJ ;f <br /> <br />7'7 <br />f <br /> <br />Signature <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 />MECHANICAL COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />OTHER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />************************************~***** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />