Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME 5'Tc'r ~ \'(V6).Jlv6= r;) J4 "'-/. Yl/l.E <br />JOB ADDRESS Co 7/1 C/4.t..{ l'f? ~!>T Uu Vj. J <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 0 J-. a... <.:. ~ ( <br /> <br />001.3::) G6("')()O Old G <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o SIGN <br /> <br />o ADDITION OALTERATION o REPAIR o INSTALL <br />o MOVE 0 DEMOLISH <br />OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br />o INDUSTRIAL ~WIMMING POOL o OTHER <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /><? cx:L do- Sea t::: eN Y ~J ~ A- <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 REQUESTED <br /> <br />o BUILDING <br /> <br />$ ;J... 5 ,3"3> G:;, 00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDER COMPANY: jJ6';'..p ~ OLuV\. PoJ.-~ L...,- <br />q IJ \ STATE CERT OR REGIST # ~ PCcJ",;l 5"5"'-IL <br />SIGNATURE ~ ~ CITY PROCESSING # <br /> <br />* **************************************************************** <br /> <br />BLBCTRICI~ ~ <br />SIGNATURE ~. ~~ <br /> <br />COMPANY D~N~(I Jn2../V1oO d -e/ E /C'L (:I F\.. fr <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 3 ().. <g <br /> <br />PLUMBER <br /> <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * *::: *.* *~. * * * *(5;A <br /> <br /> <br />COMPANY--tJ m.A.. , 6..A..._ . <br />\ <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />********~****************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />