Laserfiche WebLink
<br />APPLICATION FOR PERKIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTHERT <br /> <br />~ ~5~q <br /> <br />_'S _ SJsO{\ 0\ LW\-JdfJ <br />_'S ADIlRIlSS ~55 ~ ~ '\:'>-- ~ - <br />JOB ADDRESS '--~)~ )6 ~ee+ <br /> <br />PHONE '6'(:) 'Y5'd - &sJ2:O <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.0.# <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:--.Jiew Construction ./' Addition ---...Alteration --Repair _Install <br /> <br />_Sign <br /> <br />--1Iove <br /> <br />---Peaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />---1J/F _' of Units ---1J/H <br /> <br />_ec:-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />---..Restaurant Ii Health Departllent Approval <br /> <br />o/S l', ~U <br /> <br />\(\~\aU <br /> <br />) <br /> <br />~f\d <br /> <br />\ &;]', ~~""- <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: AtTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMKERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />~UlLDING <br />/ RT.RC'J.'RICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AHP Service Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-'lECIIAlIICAL <br /> <br />$ <br /> <br />Valuation of Hecbanical Installation <br /> <br />---..PLutlBIRG GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE ()F COIISTRUC'l'ION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDISHBD PI.OOR ELEVAnOBS: <br /> <br />Fl. <br /> <br />IS PROJECT IB FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BIJTI.DRR <br /> <br />cotIPANY <br />State Cert. or Reglst. t <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />Rt.RClIIICIAII .. COIIPANYfke 'tZe-\',:5u ~..':iL <br /> <br />== (\1. chelli ~^L hr., State Cert. or Regist . e5 . / <br />e \ vU l1l>(:}J}Y \. City License Registration f 7'~~ <br />....................................... <br /> <br />PLutlBER <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />IlECBABICAL <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration f <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />Signature <br /> <br /> <br />t"~il<i 11'.'\ 3,~'.i:t'l <br />" <br /> <br />t~-L <br /> <br />APPLICAnOB <br /> <br />:ft <br />"Ilt'; <br />