Laserfiche WebLink
<br />APPLICATION FOR PERKI.T <br />CITY OF ZEPHYRBlLLS <br />BUILDING DEPARTMENT <br /> <br />OWNER · S NAME <br /> <br />-/ ~/?'/ ,.4tt.I..t"''!'' <br /> <br />PHONE <br /> <br />.8'1.5 - 7/5:' _()67uv <br />, <br /> <br />OWNER' S ADDRESS <br /> <br />3c.CJ 7/2.- <br /> <br />cwo; v (A ~ <br /> <br />JOB ADDRESS <br /> <br />s~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />L <br /> <br />BLOCK <br /> <br />SUBDIVISION OAK CJF?~>T r"S:7A'7t"'S <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~New Construction _Addition ~teration _Repair -A-Install <br /> _Sign. --1Iove _Deaolish <br />PROPOSED USE: X"Single Faaily _KIF _' of Units --1IIH <br /> _eo..ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />, <br />/)).5/Atl ~ c.vO()Z) ~/Vc-...e <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL <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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />9 "60,00 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PL~ING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'l'ION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDlISHED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.................................*******.* <br /> <br />RUTT.DER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />v <br /> <br />;/( COMPANY --.7/..-u /0t.t. /,.9"?S hC',.- C&.. <br />State Cert. or Regist. . CSP, 9;:<- /o:?6.S <br />~ ~. City License Registration' :~q~ <br />*..*************************************** <br /> <br />F.V~CTRIClAR <br /> <br />SignAture <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />**************************.*************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />****************************************** <br /> <br />- <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTRF.R <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration # <br />*****.*****.*******.********************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKI.T OFFICER. <br />