Laserfiche WebLink
<br />APPLICATION FOR PERKIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPAR1lIENT <br /> <br />OWNER' S lWtE piJ A: 1-l e <br /> <br />WcJ~FGA.N.0 <br /> <br />PHONE <br /> <br />OWNER · S ADDRESS J 'L '\ 7-) W ~ f').fl f3> i"l' I ;P -e > <br /> <br />JOB ADDRESS s:: L e -€.F '-{ 1-1 rJ L.. t.. u W <br />LEGAL DESCRIPl'ION: LOT{S) <br /> <br />7:t- <br />J <br /> <br />n t>,V{ Le I M I Ch <br />LtJT 2-S <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' <br /> <br />WORK PROPOSED:~Nev Construction _Addition _Alteration _Repair -1(.Install <br /> <br />PROPOSED USE: <br /> <br />_Sign <br /> <br /> <br />~ing1e Faaily <br /> <br />_Hove <br /> <br />_DeJIOlish <br /> <br />_H/F <br /> <br />_, of Units <br /> <br />_HIH <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Restaurant &: Health Depart:aent Approval <br /> <br />BUILDING SIZE: lOx 'f () . <br /> <br />~ <br /> <br />tltJo <br /> <br />Square Feet. <br /> <br />/ c/ <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COtIPIERCIAL : <br /> <br />ATTACH (2) PLOT PLMilS &: (2) SKI'S OF BUIIJHNG PLANS &: (I) SET ENERGY FORlfS. <br />A'lTACH (3) SEtS OF BUILDIliG PLANS &: (I) SET ENERGY FORlfS. <br />PROPERTY SURVEY REQUIRED FOR ALL 8IJ.V CONSTRUCTION. <br /> <br />PERIIITS REOOESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECIlUCAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECllAlnCAL <br /> <br />$ <br /> <br />Valuation of Kechanical Inst:a1.lation <br /> <br />_PLUl'lBIBG GAS ROOFUG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONS'IlWCI'IOli: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />BUILDER (/ <br />Signature~JA W <br /> <br />CONTRACTOR SECl'ION <br /> <br />COKPAIiY J-! e Ie- f3S JY1 -!of. <br />J State Gert. or Regist. , <br />([7l~ City License Registration , <br />****************************************** <br /> <br />ALVA <br /> <br />SeIt.VIL..(! . <br /> <br />2.... <br /> <br />F.l.F.C'IlUCIAli <br /> <br />COKPANY <br />State Gert. or Regis.t. , <br />City License Registration , <br />****************************************** <br /> <br />SiPD~ture <br /> <br />PLUHBER <br /> <br />COKPARY <br />State Gert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />KECllARICAI. <br /> <br />COfIPANY <br />State Gert. or Regist:. , <br />. . . .. > City License Registration t <br />*********t**.***************************** <br /> <br />Signature <br /> <br />. ~- .. <br /> <br />" . <br /> <br />OTRF.R <br /> <br />.. ' CoKPABY <br />'. State Gert. or Regist. t <br />City License Registration f <br />****************************************** <br /> <br />,. <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />71 f.tAC-C '(j ~> Jd <br /> <br />------- <br /> <br />PERKIT OFFICER. <br />