Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTKENT <br /> <br />OWER'S _ ~~ <br />OWER'S ADDRESS \ <br /> <br />~~N~~~ <br /> <br />mo~ '\'1.';i u.'dco, , <br /><SQ~"\. \ \' \\<~ \ ~ <br />\ <br /> <br />JOB ADDRESS <br />LEGAL DESCRIPTION: LOT(S) \ 0 L\ BLOCK <br />PARCEL I.D.' \) \e\- \J(~~, ~~: \f~ S\~g ~ <br />WORK PROPOSED :_New Construction ----..Addition <br /> <br />SUBDIVISION '), \ ~'ni\ ~,\ \ac. Q ~~\a ~ 0;, <br />. I "8'::Q.1l. <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />-Alteration ---Repair ~tall <br /> <br />_Sign <br /> <br />-.JIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~ing1e F_ily <br /> <br />~/F _' of Units _K/H <br /> <br />_ec:-ercial <br /> <br />_Indust. _Swill. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: \N."J\-(]\\ \ 12\ lA)(jy\ ~\ll~~.p ~ '--\ ~\'- \D~(lQ_ (1)\ CjR+es <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 />PERKITS REOUESTED <br /> <br />-BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----1IECllAlJICAL <br /> <br />$ <br /> <br />Valuation of tlecb.anical Installation <br /> <br />-PLUtlBING GAS ROOfiNG <br />TYPE OF COIfSTRUCTION: _Bloclt _Fraae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FDlISBBD FLOOR ELEVAnOIfS: <br /> <br />FT. <br /> <br />IS PROJEct IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BIJTI.DD. <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />RT.R.CTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />SiQllAture <br /> <br />PLUtlBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />.......................................... <br /> <br />Signature <br /> <br />KECBANlCAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />......................................***. <br /> <br />Signature <br /> <br />OTRRR ~ ag COIlPAIIY 0\.-} ',:\()hc\E\ \..o~~~ ~() \...r~ <br />. State Cert. or Regist. , <br />Signature ............!J~Q ) () ~ A\\~ 1 City License Registration' 67/ <br />...*..................*.............**...* <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />