Laserfiche WebLink
<br />APPLICATION FOR PERl'llT <br />CITY OF ZEPIIYRlIILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />IlI3 f:S P/J01- <br />73/(. :r8.su/J/ DR <br /> <br />OWNER DP.ffNJ.s .( <br /> <br />W'/}REN <br /> <br />Ct). <br />;;2' hJ I :L J.. 5 <br />f"2~ C K 1// <br />nA. <br /> <br />~3'S-Y/PIlONE <br /> <br />[<'J,3-/gS-- .//~? <br /> <br />ADDRESS <br /> <br />JOB LOCATION (;,(,.31/ hX/'?OOFi <br /> <br />LOT S IZE.)....!J..K.X J /)0 AREA SQ. FT , <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />~/ <br /> <br />BLOCK <br /> <br />SUBDIVISION .51 L -V r#1 <br /> <br />,.. <br />1T.,g K-.5 <br /> <br />PARCEL I, D, f~ <br /> <br />O.3-dl~- .;;;/ <br /> <br />O.JdO - oooao <br /> <br />oc.JO <br /> <br />WORK PROPOSED:L.New Construction _Addition -^lter;ltion _Repair _Install <br /> <br />'" <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />_Sign <br /> <br />_~love <br /> <br />_Demolish <br /> <br />_M/F <br /> <br />_H 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 L , <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS [, (1) SET ENERGY FORMS.** <br />COM1'tERCIAL: ATTACH (3) SETS OF BUILDING PLANS [, (1) SET ENERGY FOR~IS. H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />KBUILDING <br />XELECTRICAL <br />-X-MECHANICAL <br />4-PLUMBING <br />TYPE OF CONSTRUCTION: _Block <br /> <br />$ <br /> <br />)}, K'tJd_ dO <br />,. <br /> <br />AMP Service <br /> <br />Valuation of Total Construction <br /> <br />~lorida Power Corp. <br /> <br />_W.R.E,C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />_Frame <br /> <br />Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT, <br /> <br />**********************************~******* <br /> <br />n ___ CONTRACTOR SECTION n I <br />BUILDER nfl-r L--1lJ7lf'€ __./ Company ar}7..s <br />/),1 -# ~/ J' State Cert. o~. r~egist. !I <br />Signature LUl~/l _~ City License J{c[', is (I'a t. ion <br />* ********** ******** * *** ,', 1,1,*1,* 1,-{, ,',,,,, ".'"'''''''''''' <br /> <br />ELECTRICIAN ~,-~~~~l2>-~ Company -z....-~(L."-c:. E...L.....:E:~'t S'~"'-u , <br />~~~. "'. State Ccrt, or J{('I'.ist:. II ~O -:LlG.y <br />Si9nature ~,-"'-~. City License ]~f'I',istration II l 0 <br />***************************************** <br /> <br />P~I7l.- Co. <br />AI";) () () .y9 *'9 7 <br />II j-4 ,., <br /> <br />PLUMBER <br /> <br />JJ P/ r .;; () 11'-J . Company IJ A '/ '3 <br /> <br />~ U State Cert, or ]{('f.',ist. 1.1 <br /><<It!J: ' City License geeistratinn <br />***************************************** <br /> <br />f-~(7 1- {;p. <br />13 ~t? t1 J-} if g 9 7 <br />iF )~ <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />Company <br />State Cert, or Re~ist, If <br />City License Re~istrntion # <br />****************************************** <br /> <br />Signature <br /> <br />OTHER <br /> <br />/V~ <br />Signature ~ <br /> <br />~companY B E"/>7fl7J/Yt:7"O:/Y' 1J2cz//'?.IdV/'J <br />. ($3 State Cert. or Eegist. If l1'l dd~.r:;g'j';;3 <br />. City License Registration iF --7~ <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />PERl'IIT OFFICER. <br />