Laserfiche WebLink
<br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE /r./t. #CW4.-t./) c;,4! cA <br />OWNER'S ADDRESS 5"?() gig .:-"'; .u <br />5e:Jo8 /BSI-A,/ <br /> <br />PHONE 78:J -;2 7 fLj <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIFl'ION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction --.Addition ----Alteration ----..Repair _Install <br /> <br />_Sign <br /> <br />----.JIove <br /> <br />_D~olish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_H/F _' of Units ---"'/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swill. Pool _Other <br /> <br />----..Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: /",.,J oS h'U/ A/ c'4/ Of T<l-v C~"..A4' A c: A E"" ~ ;' 4/ ~ t/ AI I r <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <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 />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AHP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br />. <br /> <br />----1IECllARICAL <br /> <br />$ <br /> <br />Valuation of Hecbanical Installation <br /> <br />-----PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUC1'I.ON: .-Block _Fraae _Steel <br /> <br />Other <br /> <br />FIRlSHED FLOOR ELBVATIORS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA., <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />((OtfTR4C1OR SECTION" <br /> <br />;. I <br /> <br />BUILDER <br /> <br />cotIPAHY <br />State Cert..or Regist. , <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />ELECTRlCIAH <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />SiOIlAture <br /> <br />PLUMBER <br /> <br />COMPARY <br />State Cert. or Regist. . <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />tlECllAtUCAL /l COMPANY ~v /E~/~;' A EAhv~: tI C~Qt. ,,;" c;, <br />! All / I.;J State Cert.' or Regist. . <br />Signature ~44J.~4ilr-- City License Registration, /'-ILf <br />~ .......................................... <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 />PBRHIT OFFICER. <br />