Laserfiche WebLink
<br /> <br />I <br />~'ck d4s f}1, ~II <br />LOT(S) 5/ <br /> <br /> <br />c0V ?it ~ Loo <br />DATE RECEIVED - - <br />S REVX <br />tev/~ - jf1()t;/ <br />PHONE '11 -105 <br /> <br />-. '., <br /> <br />\ <br /> <br /> <br />OWNER' S L E S,." <br />JOB ADDRESS I 7 <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRRILLS <br />BUILDING DEPARTMENT <br /> <br />tlvf <br /> <br /> <br />-- <br /> <br />SUBDIVISION ~;jpd tJ4::-> v11"~<=- <br />, <br /> <br />LEGAL DESCRIPTION: <br /> <br />BLOCK <br /> <br />PARCEL ID # 1)1- 2(. - 21- 0100- OOO()o .- L,,I- sf <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: j(NEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERAT ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK i<)o~tdJ Fr-t;~ ~ /II;~.5 e. <br />BUILDING SIZE 7 (If " x JfO SQUARE FOOTAGE'[;/"/ ;20" 7 <br /> <br />HEIGHT /6"'- <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 />~BUILDING <br />Ii2l""ELECTRI CAL <br />~LUMBING <br />~CHANICAL <br /> <br />$ 190 to&>. <br />150 <br /> <br />... <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />jI( FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C, <br /> <br />$ ).lt~5~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />~AS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK a FRAME <br />-'- ~/" <br />FINISHED FLOOR ELEVATIONS T'~ <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />)A..NO <br /> <br /> <br />BUXWBR ~ v / / / <br /> <br />SIGNATURE - ff J1/~ <br /> <br />COMPANyWILIF f/om6. :r1'1C-. <br />STATE CERT OR REGIST # t13 CD~70'f3 <br />CITY PROCESSING # ~5" <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE ,~~~. Ru- <br /> <br />COMPANY FE€. lC.~~\ L <br />STATE CERT OR REGIST # l:.e..DOO4~4C <br />CITY PROCESSING # \~ <br /> <br />****************************************************************** <br /> <br />~ ~ J-I~~i( S~(/ICIi I/"1/Lt$ <br />PLUMBER . COMPANY~' . <br />. ~. STATE CERT OR REGIST ~r:. CLO ct.t. 5'3 <br />SIGNATUR ~ . ~ CITY PROCESSING # _._ 2' <br /> <br />* * * * * * * * * * *,* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~ * * * * * t * * * *",* * * * * * * * * * * , / <br />MECHANICAL COMPANY {dfi H ,( S /,e 0/ '" ^' E..- (;AS e. 4t 0 <br /> <br />Z f' //1' ./ STATE CERT OR REGIST # CA Co 0/ J ., ~ R <br />SIGNATURE ~.-' "------- CITY PROCESSING #----L' 7 <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />