Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />f?1O b r.<. l,,-j- J. D~V\; e..L 5 <br />3'3/53 Po.....,~k Drift/a J <br /> <br />PHONE (;; 13) 188 - 5~ II <br />~e..ph:Jrhjlls , FL, 335~O <br />/ . <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />.5 o...MA ~ ""-j;. ll.- b 0 VlZ. <br /> <br />LEGAL DESGRlP'l'ION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.D.' 12' -2(p-21-()O~(J-O()bOO-OO4-0 <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction --.,Addition ~lteration _Repair _Install <br /> <br />_Sign <br /> <br />---.nove <br /> <br />_Dellolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />---.n/ F <br /> <br />_' of Units _H/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swi.. Pool ___Other <br /> <br />_Restaurant & Health Depar~ent Approval <br /> <br />DESCRIPTION OP WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OP BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OP BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED POR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~BUILDING <br /> <br />$ <br /> <br />5 DO .9E <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'I'lUCAL <br /> <br />AMP Service <br /> <br />Plorida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECBARlCAL <br /> <br />$ <br /> <br />Valuation of Kecbanical Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OP CONSTRUC'l'ION: _Block _Praae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />PT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRAcrOR SECTION <br /> <br />BUILDER GOKPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />.......................................... <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. . <br />SianAture City License Registration . <br />.......................................... <br /> <br />PLUHBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration , <br />.......................................... <br /> <br />tlECBANlCAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />