Laserfiche WebLink
<br />OWNER' S NAHIL-~e -te. y- ~< \ bu \^ h <br />OWNER"S ADDRESS ~1/~ O,&::::) ~UOr v:-t? DY'i lie:.. <br />JOB ADDREss_Em p ~ b\ ~ e I h -t-e . '=R.l/ P 4 r k- <br />LEGAL DESCRIPTION: LOT(S) 1 <br /> <br />APPLICATION FOR PERIIIT nrJ!! fIo~ J/!J- t, 1 /O~, ")]; , <br />CITY OF ZEPHYRBILLS V LJ..:IY " .t/'flL~r / <br />BUILDING DEPARTMENT l-/-bL' 7Y <br /> <br />PHONE <br /> <br />;3 //:1) ~73o - J..j;;/9 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. ~f~- ~I ~ f)l7IX) -00/ bD - 0 II <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction --.,Addition --Alteration _Repair _Install <br /> _Sign _Hove _Deaolish <br />PROPOSED USE: ~ngle FaBlily _H/F _' of Units _H/H <br /> _~ercial _Indust. _Swim. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: (,.JooD 4)t2C'~ /\.~[1rp~l{) ~([X)YY) ~ VI'hY/ (;)/Ycvb /cshcJ <br />BUILDING SIZE: lor X, ~t'l :l~ sq~re Feet, 8 t Height ' / <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COttMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~LDING <br /> <br />$ <br /> <br />. dC.) <br />! ~ I DD '--- <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHAlfICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _FraBle _Steel <br /> <br />Other <br /> <br />FDlISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br /> <br />o <br /> <br />SUIIJ)ER <br />Signature i~.!-d~ <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />L' -:z- <br /> <br />RJ,RCTRICIAN COMPANY <br />State Cert. or Regist. . <br />SignAture City License Registration . <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <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. t <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />