Laserfiche WebLink
<br />APPLICATION FOR PERKIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME ItAJbGL ~ RGI~lL/f ffGr<N/lA/CC2. <br />OWNER' S ADDRESS 612-~' /0 'tI1 )"T- <br />JOB ADDRESS S/ftI16 <br /> <br />Z-EPf(, FL~ <br /> <br />PHONE 7~?~ - 50 73 <br />53 s-4&T <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX. NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration ~epair _Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_' of Units _K/B <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant &: Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Beight <br /> <br />RESIDENTIAL: <br />COKKERCIAL : <br /> <br />ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UlLDING <br /> <br />$ <br /> <br />Valuation of Total Construction. <br /> <br />_ELECTRICAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECBAII1CAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Frlme _Steel <br /> <br />Other <br /> <br />PDI1SBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />COKPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />RITTlnER <br /> <br />Signature <br /> <br />SiROAture <br /> <br />COHPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />RT.ECTRICIAR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration , <br />****************************************** <br /> <br />KECBARlCAL <br /> <br />Signature <br /> <br />OTRF.R () <br /> <br />Signature~ <br /> <br /> <br />COHPANY <br />State Cert. or Regist. . <br />ity License Registration . <br />*************************************** <br /> <br />/70/ <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />