Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE 0'\... Q Y\1\C\ ~ d. u '\ ~ tu ~ ~ <br />0Ii\lER' S ADDJl&'lS 39 1.0 n::<, 0 (Y'() 1:11 ! ~:l <br />JOB ADDRESS .~ G.b ~ ' <br /> <br />LEGAL DESCRIPTION: LOT(S) "5 BLOCK <br /> <br />PHONE~;\ -S-12r)- \()CJ~ <br />1) ~ 2-tll \\5 <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition -----Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />_ec:-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant lie Health Department Approval <br /> <br />DESCRIPTION OF WORK:?~ \'(\c.~\ ?::AGj 'J~ <br />c:J X .I-\D, <br />BUILDING SIZE: ~ . ~ Square Feet, Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS lie (2) SETS OF BUILDING PLANS lie (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS lie (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <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 />_MECBAInCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel <br /> <br />Other <br /> <br />FDITSBED FLOOR ELEVAITONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER .,/.4 <br />,,,-/ <br />Signature. ..-.:.."..J"- ----- <br /> <br /><..---.. .' <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY \ \ <br />-_____ ...-?/~ L.. State Cert. or Regist. . \ <br />, r'" (.7" ?-t!" :-City License Registration' <br />****************************************** <br /> <br /> <br />v <br /> <br />F.1.F.CTRICIAR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br />"---' / <br />PLUMBER ~ COMPANY )t:Ynm" b lrr'(!}' <br />/ . ~u4'~ /'-7 State Cert. or Regist. . <br />Signat~ . ~~~yv/.-* ~,City License Registration t <br />~ ****************************************** <br /> <br />Si~Ature <br /> <br />~ .1-.>- rl..... <br /> <br />v <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 />