Laserfiche WebLink
<br />APPLICATION FOR PERKIT <br />CITY OF ZEPllYIUlILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER t S NAKE <br /> <br />7"'1/ It AI <. \. // // ,t./ <br />"3?' D '5 LA .tV S I JJ t:. <br />LOT=#- /cJ. I <br /> <br />PHONE <br /> <br />7J> J'" - c:2.. 090 <br />J... ('), -#- /0( I <br /> <br />OWNER t S ADDRESS <br /> <br />S'r <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION .'/J ~ ~ f"J'( ,1-1 t!JJ..L I'J LI) <br />PARCEL 1.0.# 0r:> - d..tJ ~ ~/ 0(3/0 _oS-too -O~D (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition ~teration _Repair _Install <br /> <br />_Sign <br /> <br />----..Move <br /> <br />_DeIIOlish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_M/F <br /> <br />_, of Units _M/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />Restaurant & Health DeparbBent Approval <br />DESGlUPTIDII OF 1iDllIt: 17f W~~ <br />BUILDING SIZE: X, Square Feet, 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 />~UILDING <br /> <br />$ 2 7 $"D <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Va1uation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING SPECIALTY <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel ALIA M I IV aM. Other <br /> <br />YES <br /> <br />fiJ <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />-:;1(. ~ Atl~ COIIPAIIY K~.J lolnJ;iY I'-DNS/ MJ,fId/OJC- <br />,,<lid- ,. "E - State Cert. or Regist. , L){ n n ~9'6 ~ () <br />I tv' ~ t City License Registration , 3. <"'" Y <br />* **************************************** <br /> <br />SignatUHl! <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. # <br />SignAture City License Registration , <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. * <br />Signature City License Registration , <br />****************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />