Laserfiche WebLink
<br />~"-._."""".. ,.."......."...,~._.__.. ..-- ..,........-- ".....-...~'...-,- <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTKENT <br /> <br />OWNER'S NAHK f)Oil-(~ .4ICA<'I.7U/'f- PHONE 7E2/ ~ 77Y <br />, <br /> <br />OWNER'S ADDRESS 7-f t e <;.-- -S.c> ~ -// ~ e. ? --R ,/7 <, '" L (~" r ;. <br />JOB ADDRESS ~iC /r" // ~.c..;y~ &/ l?~d'9-~~ <br />LEGAL DESCRlP'1'ION: LOT(S) I"'" f-- B~SUBDIVISION <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:....A....New Construction ~ddition ~teration ----:&.epair _Install <br /> <br />_Sign <br /> <br />---Kove <br /> <br />~eaolish <br /> <br />PROPOSED USE: .....A.-Single F_ily <br /> <br />---KIF _' of Units ---KIH <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />____:R.estaurant &: Health Departaent Approval <br /> <br />DESCRIPTIOR OF WORK: A~~J ? " y .:17 I' /0 /,. /"Ift:#-e 4Jlcf! <br />7 . .lJ ':":; , .tI~tt(?J( <br />BUILDING SIZE: ~S- X~~~Square Feet, ? , Height <br /> <br />RESIDERTIAL: ATTACH (2) PLOT PLARS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />COtIHERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />,irK"'/" _\:'~ /VR....> ~ c~'.J4 <br />/ r <br /> <br />PERMITS REOUESTED <br /> <br />t/""BUlLDING <br /> <br />~.RCTRICAL <br /> <br />~CIIAIIlCAL <br />~PL~~G <br /> <br />$. <br /> <br />/'i, 7tl <br /> <br />Valuation of Total Construction <br /> <br />:J 00 NIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$. <br /> <br />;(/4-- <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOnRG <br /> <br />SPECIALTY <br /> <br />TYPE ~~ CORSTllUcnOR: ~1ock YFrue _Steel <br /> <br />Other <br /> <br />FIllISBED FLOOR ELEVAnOIlS: <br /> <br />FI'. <br /> <br />IS PROJEct IR FLOOD ZONE AREA! <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRActOR SEctION <br /> <br />RIITl.Dg ~ COKPAIfY' &/oqR- qy <br />/? 0 _ / State Cert. or Regist.' CGC <br />Sigoature /- ~ City License Registration . <br />.......................................... <br /> <br />11..rJ;;f.1IJ~~~ COIIPAIIY /;;--_R vrM-f <br /> <br />SiDnAture -irj~~ ~~~eL~:;eo~:~:~::~i:n' <br /> <br />. .......................................... <br /> <br /> <br />J~L..2-- <br /> <br />z,~ l~. 'i' tLecl <br />~.:-{ (;) <br /> <br />PLUMBER COMP~:~L'J ~ f:ff?A <br />: 'M/C:' ~ /# /?~ w L~ State Cert. or Regist. . $!;);<. I 2.. <br />Signature /~: c.- . ~~ I'-;Cc..-r~ ~ City License Registration . /7r <br />.......................................... <br /> <br />Sigoature <br /> <br />;1/4 <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />MECllAllICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />OTRRR <br /> <br />Sigoature <br /> <br />APPLICAfiOB APPIIOVBDII'r {l~~ J11-~ <br /> <br />PERMIT OFFXCER. <br />