|
<br />APPLICATION j-'()]{ PEmln
<br />CITY OF ZEPIlYIUIILLS
<br />BUILDING DEPAR'HIENT
<br />
<br />,\ 1'L-J ,,,\:IT u__.~Tbt~f.
<br />
<br />,\ il [) IU.; S _____2 'iJ Cf- ~:2_--
<br />
<br />t 1\, t: Lie _____.__.2 J(fti:
<br />C) J1../..of ".
<br />.....;> I.,{.e
<br />
<br />(': L t4-Je t:"
<br />(' :I1-;}/tE.,
<br />
<br />PHONE 1~3
<br />
<br />Q).eA .
<br />/ r'-( ~S-
<br />
<br />II ii \
<br />
<br />CAT! n~l
<br />
<br />LOT SIZE~~ AREA SQ.FT,
<br />
<br />! i I!
<br />
<br />DE:;'. U.''j'IOt,; ,,(111 :,)
<br />
<br />BLOCK
<br />
<br />SUBDIVISION
<br />
<br />, ]. I. I .'r
<br />
<br />/1
<br />
<br />~~
<br />
<br />c2/
<br />
<br />0010
<br />
<br />I) ?>.3 00
<br />
<br />() I d-G)
<br />
<br />", I.!" j'ROhF:F[l:
<br />
<br />tit.\. ('unstruction
<br />
<br />_Addition
<br />
<br />_Alteration
<br />
<br />_Repair
<br />
<br />V-/ Ins tall
<br />
<br />,Ii "111\'.
<br />
<br />_Sign
<br />
<br />~11)\,c
<br />
<br />_Demolish
<br />
<br />, ED
<br />
<br />1 i " \ ,. J' d In i 1 y
<br />
<br />_H/F
<br />
<br />_ii of Units
<br />
<br />._~1/ H
<br />
<br />1 I 1 it !
<br />
<br />_Indust.
<br />
<br />__Swim. Puol
<br />
<br />Other
<br />
<br />I t' t ,I\\rant & Health Department Approval-
<br />
<br />J i "i I NC
<br />
<br />I."" .
<br />
<br />?i)
<br />
<br />< ~~y, f?..L iZ",f-/3 S ~tj e.{-fK{)
<br />
<br />Square Fee t.,
<br />
<br />/(
<br />
<br />Height
<br />
<br />i.., i DENT i :\L:
<br />.:m\l\i::RCL\l, ;
<br />
<br />,\ 11:\' Ii i l'LOT Pl.ANS & (2) ~;ETS OF BUILDINl: I'L/d~S ,'Y. (1) SET ENERGY FOR~IS, * *
<br />,\"1 t.". :11 , ) ~;ETS OF BUILDING PLANS & (1) SET 1';~H:l\GY FO\{NS. ,,*
<br /><. :.1..1) I ,,] i) I: CONTRACT REQUIRED.
<br />
<br />PERMITS REOUESTED
<br />
<br />HUl Ll, UJ,_,
<br />
<br />~C235
<br />
<br />dZ>
<br />
<br />Valuation of ToLal (:lllhLI'ucLitlll
<br />
<br />[':LEiIRTC,\L
<br />
<br />_._Mll' Service
<br />
<br />Florida 1'o\o)cr COql.
<br />
<br />_I';.]\.E.C.
<br />
<br />>'IEU i t. I \.\ i
<br />
<br />Valuation of 1'1echOlll j ('II Ins talLI tLon
<br />
<br />i'L1 ::". I :i';
<br />
<br />(; l\ :>
<br />
<br />ROOFING
<br />
<br />SPECl:\l:ry
<br />
<br />UI
<br />
<br />i:i::1' I
<br />
<br />!\ lock
<br />
<br />_Frame __~;tecl
<br />
<br />(Jther
<br />
<br />, ; Slil: ,
<br />
<br />i
<br />
<br />( J " ~ :.
<br />
<br />FT.
<br />
<br />~*~~~~************************t~~*~*~*~***
<br />
<br />',1 il:! l' 11 ..
<br />
<br />CONTRACTOR SECTION
<br />
<br />Company
<br />
<br />....10."_.. State Cert, or Eq',ist, !.f
<br />"!Mll\!I~'''' "... C'f' I'. .
<br />..._____' ' 1ty "lcense .,('['.1:;1 rat Ion
<br />*****************************************-
<br />
<br />L LL LULl.
<br />
<br />JI,...
<br />
<br />iE:l.f:(;'I'f([ C 1 AIL--"-_"
<br />
<br />C(~II]pany. ."
<br />
<br />
<br />
<br />:'..Lllil.l1) r~.
<br />
<br />.,_._____d_ C ity Licens(~ Rr>
<br />*******************************~~*******t*
<br />
<br />,l ;',n;:1t 1; l)'
<br />
<br />C:omj130Y __----
<br />State Cert. (>\ l\l'l~i:;1 !.f
<br />_________. City License !\('l'.istrat.io!l ;1
<br />******************************************
<br />
<br />. .._ :lli E,
<br />
<br />; ('.1 1.>1 t- (] ;"l.' ____~..
<br />
<br />Company
<br />State Cert, or H~gLst. 0
<br />_ ______ City License Hcr',islralion 1i
<br />******************************************
<br />
<br />L_..l.iA.:;-'~ ;'.L__
<br />
<br />'..UIL.I'.
<br />
<br />Company
<br />State Cert. or RCGist. 0
<br />City License R'~i'.i:;t.ralion I)
<br />
<br />1 i~n;t 1 l1't'
<br />
<br />,'l'Ll'\TJuN '.i'il',; Ili i'.
<br />
<br />~."* * * * * * * * *.** **ut/'o~ :* ~~* ~~:.: b." .,'; i: ,.., .' " ,; ,; ,,;, ,', *,' *_
<br />.,L-~,=L ~ CLj.~~..L- .' l' E J\~1I T 0 F Fl C ER ,
<br />
|