Laserfiche WebLink
<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYlUIILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S BAHR ~. -r ~ \:.. ,\ Sc.. t-\: <br />OWNER'S ADDRESS 4-,00\ SILV6R. <br />JOB ADDRESS -AS \!1<eoV~ <br />LEGAL DESCRIPlION: LOT(S) BLOCK SUBDIVISION~N.T VlLL~..s <br />PARCEL LD.' f.(.c;cogp PJ-~ Bode- 3 \ Pt4&e b~(OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ew Construction .-0ddition ~teration ----:B-epair _Install <br /> <br />PHONE /82- 3l4-'I <br />e\ 'O~ 1 Z6Pff.::1R..11ILLS FL 3~~q..\ <br />} <br /> <br />_Sign <br /> <br />----1fove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~ingle F_ily <br /> <br />--14/F _' of Units --14/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />----:B-estaurant it Health Departaent Approval <br /> <br />DESCRIPTIOR OF WORK: , C; c... R 6 e J......c. Po (<. G~ <br />Lf-<J ( I 0 ( ~ <br />BUILDING SIZE: 0 X I , 33 b Square Feet, D 3 Height <br /> <br />RESIDERTIAL: AnACB (2) PLOT PLARS it (2) SETS OF BUILDING PLANS it (1) SET ERERGY FORMS. <br />COMMERCIAL: AnACB (3) SETS OF BUILDING PLANS it (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CORSTRUCTION. <br /> <br />PERHITS REOUESTED <br /> <br />bUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1IECBABICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLOHBING <br /> <br />GAS <br /> <br />V ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUcnOR: _Block _Fraae _Steel r-i LU W\, N l) ~Other <br /> <br />FIllISBED FLOOR ELEVAnORS: (7 FT. <br /> <br />15 PROJEct' IN FLOOD ZORE AREA'l ....L <br />YES NO <br /> <br />.......................................... <br /> <br />Signature <br /> <br />.', CONTRACTOR SE~ <br /> <br />~ ~~, '. '=~rt.:r ::.~~ c~~~~~ ~ <br />~ fl..!1 ~~ City License Registration' ~43 <br />.......................................... <br /> <br />RUn.DO <br /> <br />SionAture <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />F.T .R.CTRICIAR <br /> <br />OOMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />MECllABI.CAL <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />OTRRR <br /> <br />Signature <br /> <br />APPLICATIOR APPItOVED BY. <br /> <br />J1~m~~ <br /> <br />PERKIT OFFICER. <br />