Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBlLU) <br />BUlLDIRG DEPARTKERT <br /> <br />/J~ <br />lJ)~vJ ~/9~ <br />l1/1 j <br />1 <br /> <br />OWIIER'S ADDRESS <br /> <br /> <br />OWRER'S <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />B~SUBDIVISION <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction ----Addition J..,Alteration -.Jtepair _Install <br /> <br />_Sign <br /> <br />-Ilove <br /> <br />_D~lish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />-----1t/F _' of Units -----1t/H <br /> <br />_~rcial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />-.Jtestaurant Ii: Health Departaent Approval <br />DESClUPTIOII OP WBK. /{tJ.(! ~J) J. Ai, LI ~ ~ S1P~~r <br /> <br />BUlLDIRG SIZE: X ,7t Square Feet, Height <br /> <br />RESIDERTIAL: ATTACH (2) PLOT PLARS Ii: (2) SETS OF BUILDING PLARS Ii: (1) SET ENERGY FORMS. <br />COHKERCIAL: ATtACH (3) SETS OF BUILDIRG PLARS Ii: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~UILDIRG <br /> <br />$ 2t?...60C:l4.;J. <br /> <br />Valuation of Total Construction <br /> <br />RT.RcrRI.CAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--lIECIIAlIlCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />.-PLUtlBIRG GAS ROOFIRG <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTIlUCTIOR: ---Block _Fraae _Steel <br /> <br />Other <br /> <br />FIRISHED FLOOR ELEVAnOIlS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZORE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />R.IT' .DO <br />SO <br />nt'Signature <br /> <br /> <br />mRTRA=~ ~ __' ~~ <br /> <br />State Cert. or 1legi.~(2 .:>131t. <br />City License Registration . ;t4~ <br />.......................................... <br /> <br />0'11= _g ~ COMPANY f_ <br />1}) /':..~ State Cert. or Regist. t <br />sj - m m :' } ~City Lie....... lleaistration . <br />~.L. ~~ " -. ..................::................. <br /> <br /> <br />./" State Cert. or Regist. . <br />S' eV. .-' City License Registration . <br />" .... .......................................... <br /> <br /> <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />...................................~...... <br /> <br />0TRR1l COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />.......................................... <br /> <br />APPLICATIOR APPROVED BY PERMIT OFFICER. <br />