Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />/./1"7 b y~/~1 <br />g'''~ " )3,9 <g/~ <br /><.;?- <br />~, <br /> <br /> <br />-;5 e h-/2 Do IV PHONE i 7 79 - 0 I 0 'f <br />2 y--i~~ <br /> <br />OWNER'S NAME <br /> <br />L <br /> <br />OWER'S ADDRESS 3 K q I g <br />5 frn1 e <br /> <br />Aw~t:::NC~ <br />IsTAL-e. <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' /1-2 ~ -2/ -00/0 - 2/~oc)- DC), 0 <br /> <br />(OBTAIN FROM PROPERTY TAX. NOTICE) <br /> <br />WORK PROPOSED:_New Construction --0ddition ----..Alteration __epair _Install <br /> _Sign ---,,-ove _Deaolish <br />PROPOSED USE: -x-'Single Faaily _KIF _' of Units _K/B <br /> _ec:-ercial _lndust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: A /)c! t2 2 c,' (X 21, ( (() r.(J D ;- I <br />, , <br />BUILDING SIZE: 2 ~ X 2~, (, 76 Square Feet, <6 {b ' (Height <br /> <br />-l),;-!ue wo 19' <::(' ~ /'oc-fJ <br />G2.. l' S"/f- IN (,-- 1-1 () ~ f l:;::-- <br /> <br />RESIDEBTlAL: <br />COHHERCIAL : <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 CORSTRUCTION. <br /> <br />~UlLDING <br /> <br />PERMITS REOUESTED <br /> <br />t l._' <br />$ , 1/.;00 0 ~ Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AHP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1IECBANlCAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />~UKBING GAS ROOFING <br />TYPE OF CONSTRUCTION: _Block LFraae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FIllISHED FLOOR ELEVAITONS: <br /> <br />PT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COKPANY V~~-. ~~ <br /> <br />u?~ J .f2-fl- State Cert. or Regist.' /C/lD D '-I,1f ~/ X- <br />(:7 City License Registration . 2 <:) '12- <br />*****************************:::*~******** , ,~ .--- ,~ <br /> <br />COHPANY ~i'/6r ~7il; ,:::.[-e:cY <br />State Cert. or Regist.' / <br />City License Registration . <br />********************************* <br /> <br />Bml.DER <br /> <br />Signature <br /> <br />PLUKBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />OTRRR c&~ <br />;' " <br />ignature' ~ .. <br /> <br />COMPANY' C-.I!f//~ ,!tJf).t:/;./6- <br />State Cert. or Regist.' R..CP/~6LCI/ <br />City License Registration , ~ <br />****************************************** <br /> <br />IICATION APPROVED BY <br /> <br />PE1UIlT OFFICER. <br />