Laserfiche WebLink
<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTHENT <br /> <br />OWNER'S NAttE '~IJ~ t, Sl(d)E1\J~ <br />OWNER'S ADDRESS 5 J I \.{ L,t:! Sf" <br />JOB ADDRESS ~ E <br /> <br />PHONE <br /> <br />',/[32 ~ I S() 3' <br /> <br />LEGAL DESCRIP'l'IOR: LOT(S) <br /> <br />/1 <br /> <br />BLOCK 27 SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROII PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____.New Construction -"ddition ---Alteration ----Repair;, _Install <br /> <br />_Sign <br /> <br />----Kove <br /> <br />_DeIIOlish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />----KI F <br /> <br />_' of Units ----K/H <br /> <br />_~ercial <br /> <br />_lnOOst. <br /> <br />_Swia. Pool _Other <br /> <br />----Restaurant & Health Depar~ent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />y X /7..., C)~ <br /> <br />Square Feet. 9, S- 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 />PERKITS REOUESTED <br /> <br />~BUILDING <br /> <br />$ <br /> <br />WJ~ <br /> <br />Valuation of Total Construction <br /> <br />" <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp.' <br /> <br /> <br />W.R.E.C. <br /> <br />----"ECJIA1{(CAL <br /> <br />s <br /> <br />Valuation of Mechanical Installation <br /> <br />:)' <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUcnOR: _Block _Fraae _Steel <br /> <br />Other <br /> <br />PlRISBED FLOOR ELEVAnONS: <br /> <br />Fl. <br /> <br />IS PROJEct IN FLOOD ZONE AREA., <br /> <br />, YES I NO,' <br /> <br />.......................................... <br /> <br />CONTRActOR SECTION <br /> <br />BUILDER <br /> <br />cotIPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />, " <br /> <br />Signature <br /> <br />RT.RCTRICIAR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />.......................................... <br /> <br />P.~ , <br /> <br />SianAture <br /> <br />s,; , <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />.......................................... <br /> <br />r' ' <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />........................................*. <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration . <br />..*..**........*.*...................**..* <br /> <br />Signature <br /> <br />} : <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />