Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />~~Jf <br /> <br />'-...\o~~~o r-i <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />3' rJS/'O <br /> <br />;vtJ~Jh <br /> <br />/11/-<' <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. t <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign <br /> <br />____Move <br /> <br />____Deaolish <br /> <br />PROPOSED USE: ____Single Family <br />..JS-ec-ercial <br /> <br />____M/F <br /> <br />____' of Units _M/H <br /> <br />_Indust. <br /> <br />____Swim. Pool _Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Valuation of Total Construction <br /> <br />X Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECllAliICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block ____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. IS PROJECI IN FLOOD ZONE AREA? <br />.+ (/'.rI~ EiC,'+ jr,J;.J~ <br />cr"':'S 19 " / ~~{.< {',.{crS' ****************************************** <br />.oJ S/?UA. < !oJ <br /> <br />YES <br /> <br />NO <br /> <br />CONTRACTOR SECTION <br /> <br />Signature <br /> <br />COKPANY <br />State Cert. or Regist. f <br />City License Registration t <br />****************************************** <br /> <br />BUILDER <br /> <br />::::1AN ~ COMPANY J't1 ~ck,(: <br />flI1 :~L ~ ~~:~eL~~~~eo~e:~:~:~~i:n t <br /> <br />****************************************** <br /> <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration # <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. * <br />Signature City License Registration . <br />****************************************** <br /> <br />omRR COMPANY <br />State Cert. or Regist. * <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />