Laserfiche WebLink
<br />APPLICATION FOR PERHIT <br />GI'IY OF ZEPllYRllILLS <br />BlJIIJHBG DEPARDIENT <br /> <br />OWNER'S NAME S DlA ~\ Or V\ d <br />OWNER'S ADDRESS 2...5' 4-oD <br />3<;( ~~f <br /> <br />JOB ADDRESS <br /> <br />Co('~ . / / B~h <br />c~, ~ i-\ l.. ) t( \ <-1 ~ ..::f=k 2R~'5) . <br />..5" +1... 'A..J~ <br />\D <br /> <br />PHONE 0 I ~~ <br />(I \EO V\.Jo~ <br /> <br />7q I ~S9b <br />3~ <br /> <br />LEGAL DESCRIPl'IOlIf: I.OI'(S) <br /> <br />BLOCKlloq SUBDIVISION --\0uJ-'l <br /> <br />t5P- 2~ 4\LL ~ I <br /> <br />PARCEL I. D. # <br /> <br />WORK PROPOSED:~ev Construction _Addit.ion _Alt.erat.ion _Repair _Inst.all <br /> <br />~ign <br /> <br />_I!fove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single F~ily <br /> <br />_KIF <br /> <br />_, of Ulnits <br /> <br />_K/H <br /> <br />~ec-ercial <br /> <br />_Indust. <br /> <br />_SwUi. Pool <br /> <br />Ot:her <br /> <br />2.S~S <br />BUILDING SIZE: <br /> <br />_Restaurant &: Health ~t. Approval <br />-, i X J I J~ ! 7- '=. Square Feet.. <br /> <br />JI 2~~fght: <br />/ <br />ATTACH (2) PLOI' PLAIlS &: (2) SEI'S OF BUILDING PLANS &: (1) SET' ENERGY FORKS...... <br />ATTACH (3) SEI'S OF BUILDDG PLD'S &: (1) SEI' ENERGY FORKS. ** <br />......copy OF CONTRACT RIlQ1llIRED. <br /> <br />C-18 tP <br /> <br />RESIDENTIAL : <br />cottftER.CIAL : <br /> <br />PERlIfiTS REOUESTED <br /> <br />SlW.$ <br />_BUILDING <br /> <br />$ 4-ISOb \e;2- <br /> <br />Valuat.ion of Tot:al Const.ruction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />s <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFDfG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _F:raBe _St.eel <br /> <br />Ot-Iter <br /> <br />FUiISHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PROJECT IN FLOOD ZONE A.REA? <br /> <br />YES NO <br /> <br />.....*...................*...*...***...*********** <br /> <br />COIfI'KACIOR SECl'ION <br /> <br />Signature <br /> <br />CO!IPAn <br />State Cert. or Regist. I <br />City License Registration I <br />.....**..........*....******......************ <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />CDlPMY <br />Sate Cert. or Regist. 41 <br />City License Regist.ration t <br />...........*.............****.*****.********...***** <br /> <br />Silmature <br /> <br />Signature <br /> <br />CDIIPMY___ <br />Stat.e Cert. or Regist:. I <br />City License Regist.ration I <br />.....................*.......*...**********.**** <br /> <br />PLOKBER <br /> <br />IfEClWllICAL <br /> <br />Signature <br /> <br />COIIPANY <br />Sate Cert:. or Regist:. , <br />City License Registration I <br />..................*..*........*******...*..*****.* <br /> <br />OTRJ<R ~ ~ COIIPAlfcfnClT\ lJ2:>A, I ~ , <br />Stat.e Cert. or Regist. I I <br />Signat:ur -AU" City License Registration j: .5R. S <br />............. ...........*....*......*...***...*...*...****.**** <br /> <br />APPLICAnoa ~~~~~ ~AAJMr <br /> <br />C5-4 -"l3l S' <br /> <br />PERKIT OFFICER. <br />