Laserfiche WebLink
<br />r' <br />(,/,/U' jr J ( e. <br />I ( C.. {J/Yv1 i~ (lCj-e <br /> <br />, ( <br /> <br />APPLICATION FOR PElUaT <br />CITY OF ZEPHYRRILLS <br />BUILDING DEPARTMENT <br /> <br />J) a (/' ~ e or-II'-~ c> 1?1 <br />1Ji-n b~ t-/~v (Lo f- <br />f <br />C} BLOCK <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />q) <br /> <br />. <br /> <br />DATE RECEIVED i /a/or <br /> <br />PLANS REVIEW I'D: <br /> <br />PHON~. y~_ <br /> <br /> <br />Lour+ $'"1 ~C\ ("<... <br />, <br /> <br />SUBDIVISION <br /> <br />, S - J" . 1 \ - D 2..D'O - OOOt:> 0 . 0 0 q 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />D SIGN <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />D ADDITION <br /> <br />D MOVE <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />D DEMOLISH <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~,~ 'L p~j/ <br />L/<j/<J (.;; <br />. <br /> <br />BUILDING SIZE <br /> <br />f) t-JL / /;.:-./ <br /> <br /> <br />SQUARE FOOTAGE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />HEIGHT <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />$ <br /> <br />PERMITS REQUESTED <br /> <br />, BUILDING <br />I)r ELECTRICAL <br />~ PLUMBING <br />? MECHANICAL <br />D GAS D ROOFING <br /> <br />~c: oc:;o <br />, <br /> <br />ISo <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />FLORIDA POWER <br /> <br />$ <br /> <br />) (.;CJC), <br /> <br />.. <br /> <br />~ <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />TYPE OF CONSTRUCTION: ~ BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES .~ NO <br /> <br /> <br />COMPANY ])~i.J (&>;v/~.....+,...;, <br />STATE CERT OR REG~.S ~ LD'I b<;:Eg <br />CITY PROCESSING # j!~~~ <br /> <br />[c**************************************************************** <br />, L P f) 1e.J <br />COMPANY cst..( ( t'Ov' <br />STATE CERT OR REGIST #. L?t- /07 3 <br />CITY PROCESSING # 2<>fof <br /> <br />.* ******* *** * * * * ** *** ** * *.){:* **** <br />.f t~b(.LS 0 ~ SV/ tJ ~.'/~'/ <br />COMPANY <br />STATE CERT OR REGI ST # '-- F c.. oS' 7 ..Joy <br />CITY PROCESSING # J g go /,/ <br /> <br />***************************** <br />COMPANY SOrJNJ.f 4r~J(J /'4,..",.,,-,/ IX <br />STATE CERT OR REGI ST # f!..~ Do I j 'It; I <br />_ CITY PROCESSING # 2~o ~ ___. <br /> <br />, ***************************************************************** <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br /> <br />PLUMBER <br /> <br />SIGNATURE , <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br />