Laserfiche WebLink
<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE ((}f'g <br />OWNER'S ADDRESS ~ )')(0 <br />JOB ADDRESS \<)n m<Y __ <br /> <br />j)a USJJerV #- to <br />/ <br /> <br />PHONE 7~3- 055::J <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL J.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 FUlily <br /> <br />_H/F <br /> <br />_, of Units _M/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />_Oth~J /J IJ <br />Port. PfL}'e!'eA <br />feu/Ie fJ/c <br /> <br />Restaurant & Health Deparbaent Approval <br />DESCRIPTION OF WORK~~\o1l ;) ~)'(l '0/G \-\p ~ ( <br />. <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />-- ELECTRICAL <br />/MECHANlCAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ J8L1~ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _FrUle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BIJII.DER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />~cf( COHPA/iYBc.e. ~e.~; ~ <br />State Cert. or Regist.. 0EOC~o/ <br />~ City License Registration I /~~ <br />** ************************************** <br /> <br />Signature <br /> <br />::'70GcYtp LC <br /> <br />PLllHBER <br /> <br />Signature <br /> <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration t <br />****************************************** <br /> <br />COHPA/iY flee Qp~ <br />State Cert. or Regist. CRCO~?2~ <br />City License Registration * ~~ <br />************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />