Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTHENT <br /> <br />(1f~ ).~/:t-Cf6 '. <br /> <br />OWNER'S RAKE <br /> <br />j//t9R/V'~ -5~ <br />L /T~/9/V}j ;"9- <br />L vJ rJ-/V /~ <br /> <br />PHONE <br />Loor::-) <br /> <br />L OtJ J~ <br /> <br />/1//LL/-~ <br />3 2o/s- <br /> <br />~o/~ <br /> <br />LEGAL DESCRIP'l'ION: LOT(S) ,,--:1'~ B~SUBDIVISION /1/4)/ tA/;<f R!J tv /}-..( <br />/ <br />PARCEL I.D.f /~-c5?~ ~..2I-o Ibo-oOOOO - CJ3~o (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: . ~. Construction ----..Addition --..Alteration --.:Repair _Install <br /> <br />OWIIER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />_Sign <br /> <br />---1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />~ <br />--Jt/F _' of Units .l:::...K/H <br /> <br />_ec:-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: Q-eY t/~ //?Ob/L<,- ~ 0 JILl( ere 7 J1L <br />BUILDING SIZE: ~ Y' x ~r, Square Feet, /t2 ( Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (l) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />-BUILDING <br /> <br />$ <br /> <br />?-J t!JD <br />~ /': /J~ Valuation of Total Construction <br />./ <br />/ s-o AKP Service <br /> <br />9?Jc? ~ <br />rt/OGAS <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />F.T.RCTRICAL <br /> <br />---1tEClWlICAL <br /> <br />$ <br /> <br />Valuation of Kechanica1 Installation <br /> <br />-PLUMBING <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? X <br />YES NO <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br /> <br />COIIPARY G-OlJWIN ///b6'LC" ~~S <br />State Cert. or Regist. . <br />City License Registration . / ~ -.s. 'z::} <br />*************************************~*~** ,~v~~ <br />~ ",r //}---t"......:::>........ <br />. ~ ~ ,,_~ 'I( ~ <br />COMPANYr Q4). ? <""",. , ~ J ~ <br />State Cert. or Ilegi.t., S-"'~ S'f J> <br />City License Registration' / ,,~=-- <br />****************************************** <br /> <br />COMPARY ~cJ';JW/f,/ //@/!.f;/e /keS <br />State Cert. or Regist. f ' <br />City License Registration f /~,--~-zj <br />****************************************** ; <br /> <br />COMPANY J"&~ q//-',~At4?Sr-' <br />State Cert. or Regist. f C. -CO <br />City License Registration f <br />****************************************** <br /> <br />BIITI.DER <br /> <br />F.T.RCTRICIAN <br /> <br />SianAture <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Signature <br /> <br /> <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />APPLICAnON APPROVED BY <br /> <br />PERMIT OFFICER. <br />