Laserfiche WebLink
<br />APPLICATION Foa PERMIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE )(ctJ ~ E7 H M, <br />OWNER'S ADDRESS 3~ D j 0 <br />JOB ADDRESS &, 8' ~ 0". K <br /> <br />Gv~(;eJS <br />IJj TIfAIIE. <br />C~ESI <br /> <br />PHONE <br /> <br />712--5778 <br />II PT t-J <br /> <br />i!:-~fflyI..H, L.Ls. FL. <br /> <br />JJ Pt- r <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL I.D.'2. -..2'- 2..1 - 0210 - ~ tJo" 0 - -, <br /> <br />WORK PROPOSED: j New Construction _Addition <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />_Alteration _Repair _Install <br /> <br />PROPOSED USE: <br /> <br />_Sign <br /> <br /> <br />l.SiJJ&l; F..ily <br /> <br />_Move <br /> <br />_DeJlolish <br /> <br />_M/F <br /> <br />_' of Units <br /> <br />_K/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />Restaurant & Health Deparblent Approval <br /> <br />DESCRIPTION OF WORK:~ h... \AJ ~\N~ ~Ltf-DVJ\"4.lIJC- <br /> <br />(;..) I c::5'^e1. <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COKKERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />ELEC'fRICAL <br /> <br />tHECHANICAL <br />_PLUKB~NG . <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />,GAS <br />I Block <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUCTION: <br /> <br />_Fraae _Steel <br /> <br />Other <br /> <br />~' <br /> <br />NO <br /> <br />Fl.NISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZORE AREA? <br /> <br />YES <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />~/ <br /> <br />COMPANY {JvJ . . <br />/ V~~;) State Cert. or Regist. . <br />~~ r - ~~ City License Registration . <br />* *************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />Signature' <br /> <br />PLUKBER <br /> <br />~ ~ COIIPANY "--~"'-'-,, I2.Ll~',. <br />State Cert. or Regist. # cx;t: At \..o~ <br />e ~ Q) City License Registration' G i <br />**************************************** . <br /> <br />COMPANY {, 'h JI VI e5 <br />tt( State Cert. or egist. <br />, City License Registration . <br />* *************************************** <br /> <br />v <br /> <br />Signature <br /> <br /> <br /> <br />Signature <br /> <br />. , COMPANY tA tll!- '5 fll!.f.J fJ~;vz. il I9/L <br />~.fi ~ State Cert. or Regist. 't en,,> ;;2:' "/8 <br />City License Registration' /~ <br />. ****************************************** <br /> <br />v <br /> <br />KECHAlUCAL <br /> <br />OTHER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />