Laserfiche WebLink
<br />APPLICATION FOR PERKIT <br />CITY OF ZEPBYRIIILLS <br />BUILDING DEPARTHENT <br /> <br />OWNER'S NAME <br /> <br />-- <br />-.I,c~ #7v <br /> <br />~e 1/ Nc- a- <br />'~A <br />-.J-1'-l. <br /> <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br /> <br /> <br />.:::\ :~ i --( , <br /> <br />JOB ADDBIlSS SO}) ;2", ~~C I,d!.! <br /> <br />LEGAL DESCRIP'l'IOIi: LOT(S) B~SU8DIVISION <br /> <br />PARCEL I.D.' (/2-tp 2-, nDID .Z&)~CX) 0010 (OBTAIN FROM PROPERTY TAX tfOTICE) <br />/ <br />~epair ~Install <br /> <br />I <br />.;;?'..... ~'J' <br />--"::510/ <br /> <br />WORK PROPOSED:~ew Construction ----!tddition ---..Alteration <br /> <br />_Sign <br /> <br />--...Nove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _S~e F_ily <br /> <br />-"IF <br /> <br />_' of Units _M/H <br /> <br />v <br />-rerCial <br />, <br />~estaurant &: Health Departaent Approval <br />DESCRIPTIOIi OF WORK: A f;h J/ / <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />_Other <br /> <br /> <br />___jr: i ('. jJ ~7 _~::. f <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />.~ y " I <br />, 'l-, ..,' (.-/b Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: A'lTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />COMMERCIAL: ATrACII (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REQUESTED <br /> <br />~UILDING <br />_m.EC1"1UCAL <br />...7 <br />-"ECBAnCAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />MIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ b/. (),9:;), <br /> <br />Valuation of lIechanica1 Installation <br /> <br />. <br /> <br />_PLUMBING GAS ROOFING <br />TYPE OF OOliSTRucrIOIi: _Block _F~ _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FIllISBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEct Iii FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTIOIi <br /> <br />Bml.DRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />RT .~CTRIClAI1 <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Si""Ature <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />IlECRANICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR COMPANY <;: (i'1.JA;~ ~~ p~~_ <br />~ State Cert. or Regist. . (!J?/JQ~-/(}("jr).Jtf'?(j) <br />Signature ~ /"'.. J~ City License Registration' ~-.~ / <br />~ .......................................... <br /> <br />APPLICATIOIi APPROVED BY <br /> <br />PERMIT OFFICER. <br />