Laserfiche WebLink
<br />APPLICATION FOR PKRKlT <br />CITY OF ZEPHYRBlu.5 <br />BUILDING DEPARTHENT <br /> <br />'1 <br /> <br />{JR-F f~,~ ... ~ <br />. (pO q /(~/q5 <br /> <br />OWNER'S IWJB ~,<1A,OP~Q f.d~u OkfiJ. , PHORE 9'" /. 7 ~ k6 <br /> <br />~~~/~~n~;1:~ (J;1;~{;;-;;) <br /> <br /> <br />LEGAL DESCRIPTION: LOT(S) X~ BLOCK \.. SUBDIviSION.iJte" O,4/S" <br /> <br />PARCEL LD.' 3- ;2(-:-;;21 - 0/60 -" OC:Q:::)(:) -cJ?lO (OBTAIN FROM PRO~ERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction ----..Addition ---..A1teration ---.,;Repair _Install <br />_Sign ---1Iove ->>eaolish <br />PROPOSED USE: ~sing1e Faally ---1I/F _' of Units ---1l/B <br />_<=<-ercial _Indust. _Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />----..Restaurant & Health Departaent Approval <br /> <br />I'/'~ ffi A <br /> <br />~uare Feet, <br /> <br />~'a <br />~ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Height <br /> <br />RESIDEHTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />RT.F.Cl1U.CAL <br /> <br />PERMITS REOUESTED <br />$ 1000 CJ Valuation of Total Construction <br />, <br /> <br />/ SCJ AMP Service X' Florida Power Corp. <br />$ c2? {')Q Valuation of Mechanical Installation <br /> <br />'t. . <br /> <br />--.JlUILDIHG <br /> <br />W.R.E.C. <br /> <br />----.JIEClWUCAL <br /> <br />----...PLUMBING <br /> <br />GAS <br /> <br />X ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: -K:..sloclt _Fraae _Steel <br /> <br />Other <br /> <br />FIBISBED FLOOR ELEVAnOHS: <br /> <br />Fl". <br /> <br />IS PROJECT IH FLOOD ZOHE AREA? <br /> <br />YES NO <br /> <br />**********************************.**.**.. <br /> <br />CONTRACTOR SECTION' <br /> <br />BUTlJ)ER COMPANY ~~ ~J ~.J.1.&_.s2~ . <br />State Cer or Regi ., C~;;x?6 C <br />Si_ture e.fJ",&1 CA..~ CitY~icpnf:e Registrati '~~/~~ v <br />.**.*.**.......*.**..*** .***** ---~ -- --- <br /> <br />:':::GIAH~~~~ COMP -" -;;- .-- .....::J- / <br />". State Cert. or Regist.' ~ :...7~ <br />. ~.. -- .ft. '-.. . _'~.....<= City License Registration .,7";" .o-=..... $-~_ <br />-- *******.************************.******.*. <br /> <br />Signature <br /> <br />1A.Jd1 <br /> <br />COMPANY IIAr'YlDN "-I- Tj,.ltc,f'P~ <br />. 71" ,- J~ A State Cert. or Regist.' <fi oC! r;; m // <br />,- ~~...L City License Registration' / to ~/ i. ':/ 7 <br />.*.******.******.**************..*.******* <br /> <br />v <br /> <br />PLUMBER <br /> <br />, tlECllAHlCAL <br />. Signature d <br /> <br />COMPANY <br />L~ ' State Cert. or Regist. , <br />~... ;/ City License Registration' <br />****************..*********************.** <br /> <br /> <br /> <br />/ <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************.************************* <br /> <br />APPLICAnON APPROVED BY PERHTT 0"'- <br />