Laserfiche WebLink
<br /> <br />APPLICAnON FOR PERKIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPAImfENT <br /> <br />OWNER'S tu.HE /~I?"}/VGE BIDSS {)fr; I?R-NC'It fj.d~e PHONE 7ffJ'-()t)O? <br />OWER'S ADDRESS /()SSOm i/d. ZE II /hIS )ft. J3 / <br />JOB ADDRESS 'It 00 / iff//J02 ) ~c:;-s-t "s:s-g 8 /t)~~m .8 } lid Z F;PHY ~ If; //S - 3.3.51-1 / <br />~ r <br />/J/ / 11 <br /> <br /> <br />PARCEL LD.' <br /> <br />LEGAL DESCRlP'1'lON: LOT(S) <br />NIl; , <br /> <br />BLOClL--SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction --.....Addition --..Alteration ~pair _Install <br /> <br />_Sign <br /> <br />--.-JIove <br /> <br />->>eaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />~/F ..!:L.. of Units __JI/B <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _OtJ;1er <br /> <br />Restaurant &: Bealth Departaent Approval <br />DESCRlP'1'lOJl OF WOBK: / /0 li'e roo ~ uJr/J... ;L;.:J.er- ~/-9 ,;,,5 , JA,.>.-,;A....> <br />( <br />),/00 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDEIITIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET DERGY FORKS. <br />COMKERCIAL: ATtACH (3) SETS OF BUILDING PLANS &: (1) SET EllERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW COJlSTRUCTION. <br /> <br />-BUILDING <br /> <br />..,-M P PERMITS REOUESTED <br />$ L) ,p (Q eQ. Valuation of Total Construction <br /> <br />_ELEcrRICAL <br /> <br />AHP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---lIECllAlJICAL <br />.-PLUMBING <br /> <br />$ <br /> <br />Valuation of Hechaaica1 Installation <br /> <br />GAS <br /> <br />~ ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE 9F COIIS'l'RucrIOJl: ---..81oc1t _Fraae _Steel <br /> <br />Other <br /> <br />FIIIISBED PI.OOR ELEVAnOJlS: <br /> <br />Fl. <br /> <br />IS PROJECI' IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BIITT.nm <br /> <br />mHPAIIY <br />State Cert. or Regtst. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />R1.RCTRTCIAR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />PUllBER <br /> <br />OOHPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />tlECBANICAL <br /> <br />COMPANY <br />State Cert. or Regist. 'J- <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br /> <br />COMPANY Y;w-<-fl> Ifoof,,,? J'o-fJ C" ~~< II <br />State Cert. or Regist:' KC ~S.5-/S- <br />City License Registration' g-~ <br />.......................................... <br /> <br />OTRRR <br /> <br />Signature <br /> <br />PERKIT OFFICER. <br />