Laserfiche WebLink
<br />.' <br /> <br />APPLICATION FOR PEma <br />CITY OF ZEPHYRRILL <br />BUILDING DEPAR <br /> <br /> <br />JOB ADDRESS <br /> <br />k:,-ti1 + H r:iDI DAtJ;"CL/fREkf~ P~~7(,~ <br />l5.J c~P-- / tf fA. S T c:/E J:;J;ul<.. j) I LL-S:. -1-1,1 1<-1 DR <br />v / <br />BLOCK /C/.:z <br /> <br />199-~3jL~ <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT (S) /'l:2.C;':<( ~,~, <br />, t . <br /> <br />PARCEL ID # 11'2/0 - 2/- (;bID - 142DO . 0100 <br />WORK PROPSED: [JNEW CONSTRUCTION ~DITION <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[JALTERATION <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />[J SIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[JMOBILE HOME <br />[J OTHER <br /> <br />BUILDING SIZE <br /> <br />CJ <br />AlELiJ I~E/7I?OCJI/Vv-+ <br />~~~.,27'1 /C (-1/~ <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />L-5A II. -+ Afl( I<-S E /<.y 4 s frr (!I( I.~ F,rJ.(!E <br />SQUARE FOOTAGE ~~c?' HEIGHT cf'o c, <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~UILDING $A,Il.OA' /L--~ ~ CJO <br />/ <br />~LECTRICAL ;%c)t~ 0/~1117 Jful(~ <br /> <br />lB'PLUMBING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />SERVICE <br /> <br />[3--' FLORIDA POWER <br /> <br />[J <br /> <br />W.R.E.C. <br /> <br />/ <br />~"MECHANICAL <br /> <br />$ <br /> <br />/7 ((-', c C' <br />I .. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS BR'OOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION: ~LOCK <br /> <br />o OTHER <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS 5/1 /~/t-- 4"" IS PROJECT IN FLOOD ZONE AREA[J YES ri/~ <br />f //<.."J;;'L (.. Rt.i. (L( <br /> <br /> <br />SIGNATURE <br /> <br />tfie (JOMPANY <br />r-, .' . TATE CERT OR REGI ST # <br />C~CV Iv G /L . '~<rP"" ~ ~OCESSING # <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />0Ui/UEfl-, qt"~?c- <br /> <br />&J <br />.. A CERT OR REGIST # <br />, OCESSING # <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~. };r <br />/-, .... . T TE CERT OR REGIST # <br />C/W /lh'5f'L- Q ... ~-t&C ~ESSING # <br /> <br />PLUMBER <br /> <br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br />SIGNATURE <br /> <br />J - i:<OMPANY. <br />/i , '~ STATE CERT OR REGIST # <br />L/{u Ii/ell- ~.:it'L- ~SING # <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />