Laserfiche WebLink
<br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE Fi,' <:J. if- cA y/ os />/f.?1.. Chc:~ n-_.{'(P r~IoNE <br />OWNER'S ADDRESS ~'O l./ 0 <R-'''1J 5 ~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESGlUPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I.D.' (/ d< -'d.~ -ozl-006o- OO",dt7- OO/triBTAIN FROM PROPERTY TAX. NOTICE) <br /> <br />WORK PROPOSED:_New Construction ----Addition ----Alteration ----Repair _Install <br /> <br />_Sign <br /> <br />----IIove <br /> <br />_DeIIOlish <br /> <br />PROPOSED USE: _Single F_ily <br /> <br />----II/F _' of Units ----II/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swill. Pool _Other <br /> <br />~estaurant & Health Depar~ent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: AtTACH (2) PLOT PLANS & (2) SETS OF BUlIJ)ING PLANS & (1) SBT ENERGY FORMS. <br />COMMERCIAL: AtTACH (3) SBTS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'l'RICAL <br /> <br />AHP Service Florida Power Gorp. <br />$ (5,2 So... (..~ Valuation of Mechanical Installation <br /> <br />W.R.B.C. <br />~ <br /> <br />---"BClWflCAL <br /> <br />-----PLUHBIRG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUcnOR: -Block _Fr_e _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEct IN FLOOD ZONB AREA'l <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />G9tJTR4GJOR SECTION' <br /> <br />cotIPANY <br />State Cert.. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />.. <br /> <br />BUILDER <br /> <br />Signature <br /> <br />:E:~:::~ ..1 ~ . COMPANY~c4111( f}C/~ftt'r/Jt/fJ[ ,r/.€'c:7I'</cAL LiJ;;r <br />x/" /.;J ,." . J,~ State Cert. or Regist. . <br />.~A"L~<...,,<")' L~ceV City License Registration' ..-..( 71) <br />, .......................................... <br /> <br />PLUflBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />...*...................................... <br /> <br />Signature <br /> <br />Signature <br /> <br />~ <br /> <br /> <br />COMPANY ~'N~' ....~_ C.o..-vclr.c.c/ <br />State Cert. or Reg{st. , OCJS-y'/..2- <br />City License Registration . ? / <br />.......................................... <br /> <br />tlEGBANlGAL <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />7'h~~ I!i~~ <br /> <br />PBRHIT OnI,CD. <br /> <br />.,. <br />