Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPllYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE ;(e:PII Y/? /J1 Cij fi .JTC /?L? I' <br />OWNER'S ADD~S b ?Y'r ~C-L 6Lt/.?? <br />hrrYr kCL I!fLt/L7 <br /> <br />#c <br /> <br />PHONE <br /> <br />?P-/c9CtJ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. t <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction V::ddition _Alteration <br /> <br />_Repair _Install <br /> <br /> _Sign ---"ove _Deaolish <br /> c <br />PROPOSED USE: lze F_il:y ~M/F _' of Units _M/H <br /> ec:-ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: E~co c;::t~T ~.t?/7zY~/C/~J <br />BUILDING SIZE: ptj;~. /] 6fJ Square Feet, /6' Height <br /> <br />#-;-r/ <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 />~LDING <br />_ELECTRICAL <br />V;;;CHAlUCAL <br /> <br />$ <br /> <br />~ P PERMITS REOUESTED <br />:.:> ~t9t1 Valuation of Total Construction <br />AKP Service ~Orida Power Corp. <br />~rJ{J ~ <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING <br /> <br />GAS <br />~OCk <br /> <br />ROOFING <br />_Fr_e _~el <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />Other <br /> <br />FIRlSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />/ <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />RlITl.DER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY {/,//5/2 (c//Z 1;6/'1 E..f' <br />State Cert. or Regist. . Be <br />City License Registration . <br />****************************************** <br /> <br /> <br />/' <br /> <br />Signature <br /> <br />ELECTRICIAN COMPANY ,f t: c t! I t' {! 7r:11 ~. <br />. v-q.)///.. f .<;?_ \ d State Cert. or Regist. #: 13':{d~t? ,)If//! d' / <br />SiQIIAture H./~W zt/ \/ ~-- City License Registration' I/J b <br />****************************************** <br /> <br />PLUKBER <br /> <br />/./~ <br />\ <br />KECHANI~ <br /> <br /> <br />Signature ~ <br /> <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Re stration t <br />******************** ********* <br /> <br />Signature <br /> <br />COMP <br />StateCer . or Regis . # ' <br />City License Registration . <br />*************************** <br /> <br /> <br />'3 ' <br /> <br />OTIIRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />