Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />Of'-(!f~-ro'Y / 1-/3' 7~ <br /> <br />" <br /> <br />JltntM.e, ;J"t. T3~1 /do.R.-s PHONE 78? -27[J <br />OWNER'S ADDRESS 29:><7 ~ltS.T1 c.. OA-KS /)rllW L4(2-. k 33\119 <br />J I '\ <br />JOB ADDRESS 512. 8 Slot II\.{ M.-{ r t"h ~ \.. l)L I Uf' '-ch P t. v,.l j II j, <br />LEGAL DESCRIPTION: LOT(S) f) 1 BLOCK - SUBDIVIS~ON SIN! "'toRr J+. II <br />IJ.-a-t--d-I-lf-</-l./b - ;)-7 <br /> <br />OWNER'S NAKE <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PRoPOSED:LNew Construction _Addition -..Alteration _Repair _Install <br /> _Sign ~ove _DeJIOlish <br />PROPOSED USE: LSingle Faaily _KIF _' of Units _M/H <br /> _eo..ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: Altc.J htM~ f'lodsrrt< c r/~ <br /> <br />'BUILDING SIZE: #' X tt. It?- ro Sq~re Feet. .s/;l~/,-. Hright <br /> <br />RESIDENTIAL: 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 />PERMITS REOUESTED <br /> <br />V;UILDING <br />V ELECTRICAL <br />\,/"" MECIIAHlCAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />- <br /> <br />~ PLUMBING . GAS .,./"ROOFING <br />TYPE OF CONSTRUcnON: ~Bloclt _Fraae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: /03 FT. <br /> <br />IS PROJEC'l' IN FLOOD ZONE AREA? ~ <br />YES NO <br /> <br /> <br />..................................~~~~)l-J,~ <br /> <br /> <br /> <br />~j <br /> <br /> <br />0> '/11 <br />~ <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />::::~ ," ~" } COMPANY U ftn-II N CZ:- (~L-~ '- <br />.,\. - .,_.~ ' State Cert. or Regist. # <br />',- c,/ City License Registration , 'f7 <br />...................................******* <br /> <br />~~" T~ <br /> <br />PLUMBER <br /> <br />COMPANY <br />10 () ..-L\ _. State Cert. or Regist. , <br />Signature ~ ~ City License Registration' 13'1 <br />,~ ,,' ill' .~.., **....*.**.**...*..*.....,., *.******** e-:::- .' /I, -.~ <br />/. \ J \ ::1.- ~'Co::::.):) l11f1ii?K}...f l...()JlI-oic I <br />MECHANICAL ~~ f) ,u.J.-- ~ COMPANY, ~ 4-. - C, - 'f"p' <-- <br />:, _~_. State Cert.or -Re ist. , . . <br />Signature. City License Registration . '~...5 ~3 <br />..**.*..*....*.***...**.......************ <br /> <br />0TRl<Il (;) ~ _ j COIlPANY q::? ~ [-<!J 'i?"" -{~ <br />~~ V ~ State Cert. or Regist. # <br />Signature t\ - ~- City License Registration # =? J J <br />*.**.***....**.***.*****.**.**..********** <br /> <br />APPLICATION APPROVED BY ll~A<-C[j fJ1~.~ <br /> <br />PERMIT OFFICER. <br />