Laserfiche WebLink
<br />- .-.,.,~.......... ......-..--......--.,---. "'--' ~_.............~._.- '".._....._._-~-_.-. <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKK ~ ~ <br />OWNER'S ADDUSS .3:J?'S-eJ 9 ~ ~ <br /> <br />PHONE 7~-///9'. <br />(~~~, .#'-/&' ~) <br /> <br />JOB ADDRESS <br />LEGAL DESCRIP'1'ION: LOT(S) ~d <br /> <br />B~SUBDIVISION ~ ~~ <.v- <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PARCEL LD.' <br /> <br />WORK PROPOSED:~ew Construction ~ddition -A..A1teration --Repair _Install <br /> <br />_Sign <br /> <br />--lIove <br /> <br />~eIIOlish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />--lI/F _' of Units --lI/H <br /> <br />_eo..ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />-..Restaurant it Health Departaent Approval <br /> <br />DESCRIP'1'ION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />. <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDEIITIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS it (2) SETS OF BUILDING PLANS it (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS it (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKlTS REQUESTED <br /> <br />,-JUlLDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />RT.~cnu:CAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-JlECBAlUCAL <br /> <br />$ <br /> <br />Valuation of Kechanica1 Installation <br /> <br />----..PLUtIBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE ~F: COBSTRUcnOIi: ---..Block. _Fraae _Steel <br /> <br />Other <br /> <br />FIllISBED FLOOR BLBVAnOIiS: <br /> <br />Fl. <br /> <br />IS PROJEct IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />CONTRActOR SECTION <br /> <br />BUTT .nO <br /> <br />tf2 c ....... ~. ...,.... <br /> <br />COKPABY <br />State Cert. or Regist. . <br />City License Registration f <br />.......................................... <br /> <br />Signature <br /> <br />RT.RCTRTCL\R COHPARY <br />State Cert. or Regist. f <br />Sionature IJ7A/ru?/'l..--- City License Registration' <br />.......................................... <br /> <br />PLUMBER COHPARY <br />State Cert. or Regist. f <br />Signature City License Registration f <br />.......................................... <br /> <br />HECBANl;CAL COMPANY <br />State Cert. or Begist. , <br />Signature City License Registration . <br />.......................................... <br /> <br />OTRRR COHPARY <br />State Cert. or Regist. f <br />Signature City License Registration f <br />.......................................... <br /> <br />APPLICAnOIi APPBOVED BY <br /> <br />PBRHIT OFFICER. <br />