Laserfiche WebLink
<br />APPLICATI05 FOR PERMIT <br />CI'IY OF ZEPllYRllILLS <br />BUII.DDiG DEPAR'DfE'JfT <br /> <br />OWNER'S MAKE P! /(-( m I(S C ~ ; ~rol(j (::<5 It//( PHOe 787( ~:3 ( 8'21 <br />OWNER'S ADDRESS 7 d :2/ A- 5 '" ~ Ii Kf d "J;> fC <br />JOB ADDRESS :s; Ii t11 t;- <br />. _ 0:50 _ oooc:>CJ --O,,;J,l> <br />LEGAL DESCRIPTION: LOT(S)3S--..J;.--,I-D BLOCK SIlfBDIVISIOINI (r-.Y~/1'"' <br />PARCEL LD.';?S -~ $' -;)/-06Sb - DDcce - O;dGlJ <br />WORK PROPOSm:.J:;-5ew Construction KAddition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_!!love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: X Single Faaily <br /> <br />_KIF <br /> <br />_, of U1nits <br /> <br />_K/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Restaurant &: Hea1t:h Depar~t Approval <br /> <br />BUILDING SIZE: ~ <br /> <br />x ~ '~'l~ I' K /.;).. Square Feet. <br /> <br />Height <br /> <br />, <br /> <br />RESIDENTIAL : <br />COKtIERCIAL : <br /> <br />A'l'TACII (2) PLOI' P.L.DS &: (2) SEI'S OF BUTI.DING PLANS &: (1) SEI' RNERGY FORKS. ** <br />ATI'ACB (3) SETS OF BUTI.DnG P.L.DS &: (1) SET ElNlERGY FORMS. ** <br />*"'COFY OF CONTRACT 1UIQlIJIRED. <br /> <br />PERKITS REOUESTED <br /> <br />-X-BUILDTNG <br /> <br />$ <br /> <br />(J a 5-0 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECllAHICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUKBIBG GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Pralle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATI05S: <br /> <br />FI' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />........................*.............................................................................................** <br /> <br />C05'I'KACIOR SECTION <br /> <br />BUILDER OO!IPMY~jjr? (;) d!{!.:;"~ C~~t;~7 <br />~/7A C> f2. / _ J r /l/J State Cert. or Regist. 41 <br />Signature j I1L.4-4::> ~,L".t:Z~~ City License Registration , E9-- ;;- ~ <br />.....................................................................................................................~...* . <br /> <br />ELECTRICIAN CO!IPANY <br />State Cert. or Regist. , <br />Si~ture City License Registration I <br />........................................................................................................................** <br /> <br />PLmmER CO!IPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />.....................................................................~...................................................... <br /> <br />KECllAlfiCAL COI!IPANY <br />State Cert. or Regist. I; <br />Signature City License Registration I <br />.............................................................................................................................. <br /> <br />O"I"IIF.R CO!IPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.....................................................................*................................................** <br /> <br />APPLICATION APPROVED BY PERKlT OFFICER. <br />