Laserfiche WebLink
<br />APPLICATION FOR PER1Ifi.T <br />CIlT OF ZEPllYIMILLS <br />BUIIJlIliG DEPARDIENT <br /> <br />i2t~ /7t''''{0,t/ PHONE % 732 ' <br />OIINER'S ADDRES~h: L}r7?~d of~/,.(/h,c$-,;J3rh <br />JOB ADDRESS L~ d~'V--L/' <br /> <br />Z2 7~~ <br /> <br />OWNER I S RAKE <br /> <br />//'7 <br />LEGAL DESCRIPl'ION: LOl'{S) Z> <br /> <br />BL.OCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. t 3-..:2 6~;J / - .tJ /3 0 - ",_,1(;> :;;)<'- t2'1'1. 0 <br /> <br />WORK PROPOSED:~lIewr Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_!!love <br /> <br />__Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single F3Ilily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />..:rlS.K/H <br /> <br />_<=<-ercia1 <br /> <br />_Indust. <br /> <br />_S.n... Pool <br /> <br />Ot:her <br /> <br />_Rest:aurant 5: Bea1t:h >>epan:.ent Approva1 <br /> <br />BUILDING SIZE: <br /> <br />~l X 1t l , <br /> <br />";11..-) I <br /> <br />Square Feet, <br /> <br />Height: <br /> <br />~ <br /> <br />RESIDENTIAL : <br />COHKERCIAL : <br /> <br />A'ITACII (2) PLOI' PLARS 5: (2) SEIS OF BUTIJ)ING PI..OS &: (1) SET ENERGY FORKS. ** <br />ATI'ACI (3) SEIS OF BUIIJ)IBG PLARS &: (1) SET ENERGY FORKS. ** <br />**COPT OF CONTRACT RIlQtJJIRED. <br /> <br />PEIMlTS REQUESTED <br /> <br />LBUILDIllG <br />~ ELECTRICAL <br />*KECHAlUCAL <br />~PLUKBIllG <br /> <br />$ <br /> <br />/'!,." , tl' <br />0..// ).:')0 ~ <br />, <br /> <br />Va1uation of Tot:a1 Construction <br /> <br />It)(,1 <br /> <br />MIP Service <br /> <br />Florida Power Corp. <br /> <br />~W.R.E.C. <br /> <br />$ <br /> <br />/.J..~o <br /> <br />Va1uation of Kechanica.1 Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Pralle _Steel <br /> <br />Ot:her <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PR.O..JECT IN FLOOD ZONE AREA? <br /> <br />* <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br /> <br />CO!D'RACI'OR SECTION <br /> <br />OOlIPANY ):l~ . .d;~Zi7Z/1/~<LL.~.;:;J <br />St:ate Cert. or Regist. , <br />./ Ci1:y License Registration' 5..5f <br />j ****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN CU!lPAfi {i ./1. Jt'Ic.'IJ/0/ /jt...-c 7/c/L IAt,' <br />St:ate Cert:. or Regist:. :j# <br />Si l2J<<:ity License Registration I ( ?y <br />***************************** <br /> <br />PLDtBER CU!lPANY ij:1s 1'/1/ i;! IM./ <br />St:ate Cert. or R~t:. :j# <br />Signature City Licem:;e Registration I /tlJ <br />***********************~****************** <br />/1 . <br /> <br />KECHANICAL / . , OOIIPANY f)/lI//tS d'/J1/i1i ~s 4. { _~ <br />. iA ~ '11 j' St:ate CerL or Regist:. f <br />SignatureL1LtJt.. ~llit1- !f/~ltmJ. . UtJt.- City j,icense Registration I :7g' <br />I~ ***** ***************~******************* <br /> <br /> <br />OTHER <br /> <br /> <br />CU!lPMY 13 c'JI.. fttt14 IU<-< '; <br />State Cer~, . or Regist. ~ <br />City License Registration , <br />***~.'l-**************************** <br /> <br />~;;~d,~ <br />'/'! <br /> <br />Signature <br /> <br />APPLICATION APPIIO\IED BY ~~ .;1..", -,,-l <br /> <br />PERKIT OFFICER. <br /> <br />'. <br />