Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />"" .,fit <br />,~/~ <br /> <br />OWNER'S ADDRESS <br /> <br />Et.-totJ <br />3JO'L :,?" <br />SA I~~ <br /> <br />,H <br /> <br />PHONE <br /> <br />'"'lOA' 6,/ l.... <br /> <br />OWNER'S NAME <br /> <br />c; ./.; <br />I <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) oZ g- .;( q <br /> <br />BLOCK <br /> <br />o SUBDIVISION <br /> <br />PARCEL 1.D.' 1e2 ';J.,' -.;<.) - (jO~ 0 .'00 boo ~ 0.2 FJ () (OBTAIN FROH PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction V~~ition ---Alteration _Repair _Install <br /> <br /> _Sign _Hove _DeJIOlish <br />PROPOSED USE: _Single F8IIily _H/F _' of Units _H/H <br /> _~ercial _Indust. _Swia. Pool ~er _~IJ-Aqe <br /> \; <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br />I / <br />BUILDING SIZE: (;; X ::z 0, / Cl.. u <br /> <br />" <br /> <br />Square Feet,R- b,{Ueight <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 />VBUILDING <br /> <br />PERMITS REOUESTED <br /> <br />$ '>6- cl7J. ()"7J <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 />_MECllAlfIGAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLUHBING GAS <br /> <br />ROOFING <br />V::' <br />_Fr8lle _Steel <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />~ <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER 0 w It./.Q... R- <br />~'" <br />Signature,/( ..:.I/'; II <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COHP~ <br />State t. or Regist. . <br />r t_ ''- City 1ce~egistration' <br />*********************..********** <br /> <br />F.UO:CTRICIAN COMPANY <br />State Cert. or Regist. . <br />Sian3ture City License Registration . <br />****************************************** <br /> <br />PLUHBER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration . <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />