Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />. KlV / rJ - p. 'f-is-:-- <br />.'1Jij/ ' . <br />j ..' <br /> <br />OWNER'S NAME <br /> <br />PeJ....~ <br /> <br />~ .Q" ;-+ez.- <br /> <br />PHONE <br /> <br />7 <t '5 ~ {p 43 <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />3~ 4S-l <br /> <br />c-R <br /> <br />'S'~ eq~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.' (!) Z- 24> 2..{ &0 10 0 (P 00b <br /> <br />~2..1 <br />. <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition -^lteration _Repair _Install <br /> ~Sign --1Iove _Deaolish <br />PROPOSED USE: _Single F8IIily _M/F _' of Units _M/H <br /> Lec-ercial _Indust. _Swta. Pool ___Other <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />&m7j$~Stht .' <br />..k,~."v..k.et~ C?4-q.014-7 <br /> <br />DESCRIPTION OF WORK: <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ ~. S{)O' <br /> <br />'&l~ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHAlfI.CAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BIITI.DER COMPANY rY\Df-\ Us. A <br />~ ^ n State Cert. or Regist. . <br />Signature ,~-:O}- City License Registration t <br />****************************************** <br /> <br />ZZ..3 <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. t <br />Siooature City License Registration t <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration . <br />****************************************** <br /> <br />OTHRR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />