Laserfiche WebLink
<br />:>. <br /> <br />APPLICATION FOR PEIDlIT <br />CITY OF ZEPIITRHILLS <br />BUILDING DEPARTHENT <br /> <br />APPLICANT CD. L., ~ 16\/6 . CONs-r/2.AJc.:n ON <br />ADDRESS sf74-(~ G~ ~'ft: -Z-L-.HLLS <br />OWNER -1!JJl-.S i Af:l.1J fJr bE: (LJ (:? It AN <br />JOB LOCATION LOT /2. L StL\J6l- oAY-s <br /> <br />PHONE <br /> <br />1~2..._q'-t'-f :> <br /> <br />'. <br /> <br />PARCEL 1. D. ~~ <br /> <br />LOT SIZE fa:; x 120 AREA SQ. FT. 1~ICoO <br />SUBDIVISION 5IL\l~iL <br />OIZO -.00000 -/ZZC) <br /> <br />BLOCK <br /> <br />~s <br /> <br />LEGAL DESCRIPTION: LOT(S) 17_2- <br />O~ -Zf:, ':"'21 <br /> <br />WORK PROPOSED:~New Constru~tion -:.-Addition _Alteration _Repair ____Install <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />____Sign <br /> <br />_Hove _Demolish <br /> <br />~M/F <br /> <br />_~~ of Units ,._l'1!H <br /> <br />____Commercial <br /> <br />_Indust. <br /> <br />____Swim.. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: 5q X bb' Ii!... <br />, <br /> <br />~Lf33 <br /> <br />Square Fee t , <br /> <br />Cj ,_ 0 l( <br /> <br />Height <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 FORHS..** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMTTS REOUESTED <br /> <br />~BUILDING <br />X ELECTRICAL <br />~MECHANICAL <br />-A-PLUMBING <br /> <br />$ lZ~ooo <br />ZeD <br /> <br />Valuation of Total Construction <br /> <br />AMP Service' <br /> <br />x <br />( <br /> <br />Florida Power Corp. <br /> <br />_H.R.E.C. <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Block <br /> <br />..:.i-Frame <br /> <br />____Steel <br /> <br />Other <br /> <br />..~l <br />q"/'J ()& <br />4> /0- rY f:J' <br />.~ h <br />(~r <br />./ <br /> <br />$ <br /> <br />-Sf c.?O. <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />.... . <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />****************************************** <br /> <br />. CONTRACTOR SECTION <br />nlJ1LDER 0cL. S-r6.JE. w,J'ST. . Company ~L, ~-rev& <br />~~ ~ State Cert. or ~egist. II CBLO"7:Z-J"!,q <br />Signature . . . City License Registration 1; 161 <br />. ***********************{t*{t*{t*** ,'r i, ,', ,'", ;,;, .:, ;"',,, .. <br /> <br />ET.ECTRTCTAN '~,~~~U'::\4) Company L-.-\~\L.~<;; G..~:q. <::"::t'Ld, <br />~ ~ State Cert. or Reaist, II 0<00 'J.-l&!r" <br />Si'matur ) . City License Registration 11 \ 0 <br />**************************************** <br /> <br /> <br />. .. (,At..~ MJ.11 4 ~t~ <br />fJb. Company' . If<:;' .'~ I <br />State Cert. or Regist,;1 ~ ~~t{~ ~ <br />City License Registration 11 /::;7 <br />****************************************** <br /> <br />Signature <br /> <br />Signature <br /> <br />Company !S;t/fL! ~ ;:7/fo~ANE b~.s fl~ JA.'C <br />~/,B'. '" _ S ta te Cert. or Regis t, if CAc() y:i" V' .9 <br />. ~_--- . City License Registration Ii <br />****************************************** <br /> <br />MECHANICA1. <br /> <br />Signature <br /> <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />/ <br />%.1<** <br /> <br />OTHER <br /> <br />PERNIT OFFICER. <br /> <br />. APl?LICA,TI<W. APPROVED BY <br /> <br />1 .4It: .,..~ ""#Ii.,. i...., ".--......, <br />