Laserfiche WebLink
<br />/ tJ _/'1>910 <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRlIlLLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME G?,c...A- IV L /{Oll-'I 'l.O AlJ PHONE 3$2.-..5-;). '3 -/7 If <br />OWNER'S AI)DRESS_~. 0 ,~~ '- ?.Lf:~-DAJfl el/Iy "3 '3 S-U <br />JOB ADDRESS 76 If r (;."",UIf,/ >'-,,-4 i)/L. -Z - flt//,? <br />LEGAL DESCRIPTION: LOT(S) CJu~ Ao"si BLOCK'-- SUBDIVISION G",4\-"'" Lj.!,lI-fUI>I',s <br />PARCEL I. D. t 3 ~ - ;;. S- - ~ / - 0 0 I" - 0 ( 3"0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: _New Construction ~ddition -Alteration _Repair _Install <br /> _Sign _Move _Demolish <br /> . <br />PROPOSED USE: _Single Family _M/F - # of Units _M/n <br /> ~connercial - Indus t . _Swim. Pool _Other <br /> <br />Restaurant & Health Department Approval <br />- \\ n ... /1... II <br />DESCRIPTION OF WORK: \YA Tt 0 \..J:)vEI'2--' 0 N €'fJS 7ik, <br /> <br />, ~~ Z'?~ <br />BUILDING SIZE: ~ 0 x~. 1120 Square Feet, Height <br /> <br />.> ,--*J .. <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTAL11 (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />..L.BUILDING <br /> <br />$ <br /> <br />f I) 00 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <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 GAS ROOFING <br /> <br />SPECIALTY <br />/)' L/ ,...",.... Other <br /> <br />TYPE OF CONSTRUL'TION: _Block _FrOle _Steel <br /> <br />YES <br /> <br />~ <br /> <br />FINISIIED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />..***.********.***........*...*.*........* <br /> <br />BUIWER <br />Signature <br /> <br />&2~ <br /> <br />CONTRACTOR SECTION <br />"- <br />COMPANY /?1,e. Ey.~/()~ -::t""PC-._ <br />State Cert.. or Regis t. t 00 it II /4' <br />City License Registration t <br />*.*.**...*.*.....*........*.*....********. <br /> <br />ELECTRICIAN <br /> <br />SiRUature <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration i <br />**********************.*************....** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration # <br />***.**..*.*****.***..*******.************* <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />*.****.***********.*****.****..*****...... <br /> <br />Signature <br /> <br />OTHER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration i <br />**...*.....*.*.***...****.....**.*......** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />