Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />.~ <br />~ bO' (. <br />~~ ..- )1 <br />~ \/p <br />779- 7c; 7/ <br /> <br />OWNER'S NAME <br /> <br />/~1 <br />'-7# ;,- E /- L; /' ( . /;' /7/1/ C5 ;7 <br />/' F _ /' 'i /-, <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br /> <br />~. ':,i -:>. / /.- ...-. -7 /? I - <br />.. .-, c.. [' /~_/,7 /V.:'-..6- /'";/ /~ <br /> <br />~7'" .c/:> ~Y,A,::,7# /L:,L _<;. ~ C::::/}, <br /> <br />JOB ADDRESS "-~ 7 ~ 0 / (.. ;ZZ ~ <br />.4';>.'; // :;/z C ",,- L c. ; ?c' <br />LEGAL DESCRIPTION: LOT(S) 2. /~. Z 2 /?/~;O BLOCK] / SUBDIVISION <br /> <br />C // Y c"/- ?r/,7,,</Y/fc)/-///c S <br /> <br />/:'e: /";;- /3'c.:'..-< / /::>/./o/-" 5' 5/ <br /> <br />PARCEL I.D.' 1/..2 {:S' ,.7/,,'~' " t' ,,-' c~ / {'} L-'J' ,-' _~ 1(,,; <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: t>/New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />-~--. <br /> <br />PROPOSED USE: t/'S ingle Faaily <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swim. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: /I/,L-' J... /3 c . .c P / yV 0' c.- C. /v 5"7 ~/?C ;7 /C /v <br />T#/5' /NC L< /J~S 6/9 /;.! N.C:6. U H/ C.N' 1'$' ,2/ 'x z/ J <br />BUILDING SIZE~.5 5 'x ~C /. / 93{':/Sq~;~/~~t:;,1 // Height <br /> <br />RESIDENTIAL : <br />COMMERCIAL <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />V::UlLDING <br />tL:-ELECTRICAL <br />bCIIAIUCAL <br />V PLUMBING <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />/C! ~'{>{.. <br />/ <br /> <br />Valuation of Total Construction. <br /> <br />;20( <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ';~/Block _Fraae _Steel Other <br /> <br />,. " <br />FINISHED FLOOR ELEVATIONS: / - 6 FT. IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES <br /> <br />,/ . <br />NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY Pd /?7c (/ /'-1/;tV ~~ <br />" State Cert. or Regist.' .~ <br />~;::~ 1ty License Registration' ....-^-- <br />*************************** <br /> <br />Signature <br /> <br />c:. <br />F.T.J:CTRICIAN COMPANY 1(1 :>h~r '1<'1 Qrot-ri ro 'R~ym(')nn To Kl rthpr <br />~.. . I...j) cLh~ / State Cert. or Regist.' F.'R-()()()t;h~? <br />SiimAture,' '~ If' ,,/l.V1/~ City License Registration' 1 e 4 <br />. ****************************************** <br /> <br />PLUMBER <br />signatureLWc- &;4 <br /> <br />COMPANY tv .5 &...J/ <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />4-112 <br />, <br /> <br />.... <br /> <br />=ur~V'A~ <br /> <br />t <br />COMPANY ? C /I,/ft- S I <br />~ State Cert. or Regi.t. . <br />f11~.~ City License Registration . <br />******** ********************************* <br /> <br /> <br />'~. <br />'"1t~1c'J . . .' / <br />"-.a ure' ~/ <br />....,^.. - , <br /> <br /> <br />COMPANY /./d..d~ 07' ~~A' L?~ <br />~tate Cert. or Regist. , <br />'~City License Registration , <br />~***************************** <br /> <br />TION APPROVED BY <br /> <br />PERHIT OFFICER. <br />