Laserfiche WebLink
<br />.,' <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE D oJ. L.. QUI c: J< L~ G'~ I/LIC, . PHONE 1 ,f 0 - &; '-f ~ )-. <br /> <br />OWNER'S ADDRESS Sf47 &-4J-L. ti-tlD. 2-EPII'I,eHiLi-S. t::1.,. 33.r4f1 <br /> <br />JOB ADDRESS S-PI../ C-t9-I-L LVD. 2--1:77?J..IV~HIJ,L>. PI_ ~ 1S4 <br />L61' .#--/ '" Ie ';;';7 -!-be S-(;......H-.. 4. r 'lhere <>-f; LoiS 17 "- IR <br />LEGAL DEScRIPTION: LOT(S) BLOCK if SUBDIVISION <br /> <br />PARCEL I. D.' 11-). /" -;J. } - 00 I {)- 0 0 1 v 0- 0 I G. 0 (OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction /Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Family <br />~eo..ercial <br /> <br />_H/F _' of Units _H/H <br /> <br />_Indust. _Swim. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: A D 1:) <br />BUILDING SIZE: ). ~ X ).. g . <br /> <br />~ I-cl 84 t V- f' j r <br />~ J b Square Feet. <br /> <br />f-" /l. <br /> <br />I <br />Av s- <br /> <br />I <br />t to Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />tif)..tf? <br />:J 8'(5 b ------PERMITS REOUESTED <br /> <br />~ Valuation of Total Construction <br /> <br />$ <br /> <br />_BUILDING <br />~LECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHARICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />/> <br />GAS ROIU'I,.,' <br />,-- <br />TYPE OF OOBSTRUCTIOII, -e _F~/<fte~ ~. <br />FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? <br />.... ~ .~ .jr.~.......'.'.'.'...'.'.'..'.'."'."." <br />~ ~~ ~~ COBTRACTOR SECTIOB <br />BUILDER ~ ~~ mHPANY ~ <br /> <br />t~ /0 .-A State Cert. or Regist. <br />Signature V S U~,y~}. e L City License Registration' <br />*****************************************~ rt412-::- J< y II 0 6 J J"7 r <br /> <br /> <br />=:~ -, COMPANY ~77t;;? d~ <br />/) /ld./ /:7 State Cert. or Regist. t E. 1/ <:t <br />u e U/ ~~ City License Registration' 4 , <br />****************************************** <br /> <br />_PLUMBING <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />YES <br /> <br />NO <br /> <br /> <br />PLUMBER <br /> <br />Signature <br /> <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration t <br />************************ <br /> <br />MECHANICAL <br /> <br />or Regist. t <br /> <br />Signature <br /> <br />omRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration t <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />