Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />Gf~/i' Cfd #5--' <br /> <br />OWNER'S NAKE--K y? Lt T ~ !oYl../ <br /> <br />OWNER'S ADDRESS $";.. :An J '1 ~ sr <br />. <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br /><;' /J Iv!-\ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL LD.' 11-26 -J-/ - oo/tJ,I<J?~().... O/9D (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:-x'New Construction _Addition --Alteration _Repair _Install <br /> _Sign --1Iove _Deaolish <br />PROPOSED USE: _Single Faaily _M/F _' of Units _M/H <br /> _~ercial _Indust. ~Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health Deparbaent Approval <br />rJL {If} '-- <br />:!::::.~ SI2G~/~ t VOG- <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UlLDING <br /> <br />$ <br /> <br />J tiovv <br />. <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AtIP Serv'ice <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUcnON: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJEcr IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />RUTT.DER <br />S1_ture b- JL <br /> <br />CONTRAcrO:r~N <br />mMP~XnnL ~ -_..(q~J(\. ~rJ~ . <br /> <br />State Cert. or Regist. · ~ If ~ <br />~ City License Registration , I <br />****************************************** <br /> <br />:::!J~ COHPANY: S <br />. I State Cert. or Regist. . <br />'/\V\.;U 1./ City License Registration' <br />* ************************************* <br /> <br />COMPANY~ <br />State Cert. or Regist. , <br />City License Registration t <br />****************************************** <br /> <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />.,. <br /> <br />d-- t 7 <br />, <br /> <br />MECHANICAL <br /> <br />COMPANY . <br />State Cert. or Regist. . <br />City License Registration , <br />****************************************** <br /> <br />. roHPANY ~4i ~~r <br />State Ceit. or Reg st.' R~Q~~/ <br />City License Registration ....., , <br />****************************************** <br /> <br />Signature <br /> <br />MRKR ~ <br />Signat ' <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />