Laserfiche WebLink
<br />APPLICATION FOR PERt-1'IT <br />CITY OF ZEPIIYRlIILLS <br />BUILDING DEPARTl'1ENT <br /> <br />:::~:::NT Y!!fJSi~ ,f~ ~j~ A ~f <br />OWNER _~_ ~,_-J;~: <br /> <br />JOB LOCATION~ <--){) 5<: 9+ ~ y <br /> <br />_PHONE <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />~: <br /> <br />'. <br /> <br />PARCEL 'I. D. jl <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />WORK PROPOSED:____New construction <br /> <br />_Addition <br /> <br />____Alteration <br /> <br />6:pa{r <br /> <br />_Install <br /> <br />_Hove <br /> <br />____Demolish <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~ngle Family <br /> <br />_Sign <br /> <br />..:...--M/F <br /> <br />-Lj~ of Units <br /> <br />, .____M / H <br /> <br />____commercial <br /> <br />~Indust. <br /> <br />_Swim.. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMl'1ERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OP DUILDING PLANS & (1) SET ENERGY FORMS,-- <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />}ry'.RM1'fS RF.OtJES'fEn <br /> <br />\/BUILDING <br /> <br />$ <br /> <br />J. CjG, ~ q:U <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida power Corp, <br /> <br />_W.R.E.C. <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical InsU.ll1ation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />~t/A#1. <br /> <br />Other <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />____Block <br /> <br />_Frame ____Steel <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />Ii11t. &. f:.-z;;;,.' - ,CQNTRACTOR SJl~;; fiiili. ,~ <br />n 011,]) F _ ,A ~nLU- . _ ^ ,.4 A4 /.M -< r Company . ~t.u1 " :M - ~ . .. - 4#i'f(t; f -:: ' <br />~1t2 '/:~ . State cert, or Repst, it L' <br />Signature r (; . City License ReGistration ~F <br /> <br />, 'I< 1< * ** *** ** * * ***** ** 1< ** * ie ieie * ie * ie ie .:e i," ':e ,', i"," i, ,', * <br /> <br />****************************************** <br /> <br />SiO'nature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registrntion 0 <br />****************************************** <br /> <br />= <br /> <br />EJ.F.r.TR1r.1 AN <br /> <br />Signature <br /> <br />Company <br />4 State Cert. or Regist. a <br />City License Registrntion 0 <br />****************************************** <br /> <br />E-UTMBF.R <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, ~! <br />City License Rigistration 0 <br />******************~*********************** <br /> <br />tlF.CHANICAT. <br /> <br />Signature <br /> <br />********~********************************* <br />APPLICATION APPROVED By)1 a~ .'0!r?/'t.(t\/> T . <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />0THF.R <br /> <br />PERtHT OFFICER. <br />