Laserfiche WebLink
<br />APPLICATION FOR P <br />CITY OF ZEPHYRHI <br />BUILDING DEPARTMEN <br /> <br /> <br />e./'L{ ~e tll '/00 Y <br />ra(3//r <br /> <br />OWNER'S <br /> <br />NAME 720 G(;1t ~ U V<., l IV 6 TDtJ <br />ADDRESS 3? (g 2- ( <br />.3'7 c,~( <br /> <br />PHDNE <br /> <br />OWNER'S <br /> <br />JOB ADDRESS <br /> <br />Gt'2I+#J fJoIUZ()~ (3L-l/(). <br />('.?AAJJ () f/~I 2 ~/\I <br /> <br />i-fJT <br />13L-flP. <br /> <br />S-~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED: ~w Construction ~ion ____Alteration ____Repair ____Install <br /> <br />____Sign <br /> <br />.____Move <br /> <br />____Demolish <br /> <br />PROPDSED USE: ____Single Family <br /> <br />_M/F <br /> <br />____, of Units ~ <br />_Swim. Pool ~her ffi/U'M fIJii' U1. <br /> <br />_eo..tercial <br /> <br />_Indust. <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: RAt ~ (;0 <br />BUILDING SIZE: ~x I l, <br /> <br />,(' 1//1-1) <br />nO <br /> <br />rPJ (h~IlI~O <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COHMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ING <br /> <br />PERMITS REOUESTED <br /> <br />$ '7300.00 <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 />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br />Ik....J/lN !IVJIIA. Other <br /> <br />TYPE OF CONSTRUCTION: ____Block _Fralle _Steel <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY IS $ 1+ ( ()11~~vC n ~rJ Of'=- c&t1ITIlIh... 1'=(. <br />/7,.. , 11. , /J 11. /J State Cert. or Regist. # t' a CD 5'7~ r"2- <br />~ l:!::. ~ City License Registration' 2-(p <br />****************************************** <br /> <br />BUILDER <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. i <br />SianRture 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. t <br />Signature City License Registration , <br />****************************************** <br /> <br />m:IlER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />