Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />mR ~N\(:D <br /> <br />a~u Jnore L <br /> <br />PHONE <br /> <br />! 4kl.... 8"\L I <br /> <br />OWNER t S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />~b--H <br /> <br />BLOCK <br /> <br />SUBDIVISION E ME. fAC-1J <br /> <br />P; IJJ IE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL I.D,' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ---l\lteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single F8IIily <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />_ec:-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />CDtOctO!TZ- /Dt<., tJL I p",o <br />( { <br />Square Feet, <br /> <br />BUILDING SIZE: <br /> <br />x <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 />_BUILDING <br /> <br />$ <br /> <br />~q5 ~ 71D <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 />_MECllAlfiCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLtmBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel <br /> <br />Other <br /> <br />FT, <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />Signature <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />BUTIJ1ER <br /> <br />vV,--D <br /> <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />COMPANY <br /> <br />/100 <br /> <br />ELECTRICIAR COMPANY <br />State Cert. or Regist. . <br />SianAture City License Registration f <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />***********~****************************** <br /> <br />OTRRR COMPANY <br />State Cert, or Regist. , <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />