Laserfiche WebLink
<br />APPLICATIOII FUR PERKlT <br />CI'IY OF ZEPHIHBILLS <br />BUIIJHliG DEPAR'DIENT <br /> <br />OWER'S MAKE Ai ~i ~Y;a--(f/'u~.J ,4;;~ 1'{/< d~" ,,-<~ ~:-- PHOB ;/J:;' -;;;2 76" <br />OWER'S ADDRESS JS J0 "/ M~ '/ ~:, </ /j ;/y0!/ ;/;/.1// /2 ::;:''''$-5// <br />JOB ADDRESS ~~S/{\ 7 /( II II 7cl/ ,/)/( /(t"YY/;,/ AI1Uj"/ rt'// 33 Sy! <br />I <br /> <br />LEGAl. DESCRIPl'IOI!f: LOI'(S) <br /> <br />~SUBDIVISIOl!i a / /A- ':/(:.r) S /) .'(i, ~l ,//"-- <br /> <br />PARCEL I. D. t <br /> <br />KORK PROPOSED :-=tLllew Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_De.olish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />1i::-K/H <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Restaurant &: Hea1th ~t Approval <br /> <br />BUILDING SIZE: Z. '8 X 3(.. <br /> <br />//J/JF <br />. <br /> <br />~e Feet, <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COHKERCIAL : <br /> <br />Al'TACH (2) PLOl' PI..MlS &: (2) SEIS OF BUILDDiG PLAIIS &:' (1) SEI' ENERGY FORKS. '*'* <br />ATTACH (3) SEIS OF BUILDDG PI..MlS &: (1) SET ENERGY FORKS.** <br />**COPY OF CONTRACT RIlQIIIIBED. <br /> <br />PERKITS REOUESTED <br /> <br />~BUILDING <br />~ELECI'RICAL <br />;f( KECIIAlUCAL <br /> <br />$ <br /> <br />t5 <br />/.:0 t7tf7(J <br />-' <br /> <br />Valuation of Total ConstruCtion <br /> <br />/S[I <br /> <br />AKP Service <br /> <br />"K Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Jilt' <br /> <br />Valuation of Kecbanical Installation <br /> <br />...LPLUKBING GAS :ROOFDIG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _~ _Steel <br /> <br />Other <br /> <br />FUiISBED FLOOR ELEVATIONS: G: . FI'. . IS PRO.JECT IN FLOOD ZOME AREA? <br /> <br />~ ~c L" (C7/cA./<- YES NO <br />****************************************'** <br /> <br />antBA&nHl S~O. ~ <br />BUlIJlER / ,~~ ="AIIY:E/o:\'e~:: ~'-'h~;,t ";;C,v4k-/'L #{ob~ <br /> <br />Signature~ ,[/ -Y.: / ",~ ,'Ii Y". City License Registration I .3 ~. <br />**~~**.."''''''~'''''...:....:-.......''. ~ <br /> <br />L_,;)J-,,-~,<~ t?"h' ~ ;P~ <br /> <br />" 7. ~ ~ St:ate Cert. or egist. , <br />Si City License Registration t ~~ 3y <br />****************************************** <br /> <br /> <br />PI..UKBER <br />Signatur~;2e~ <br />;/ <br /> <br />. ? OO!IPMiY ~{~ 4A~ <br />L State Cert. or Regist. I <br />. ,~... City License Registration I <br />****************************************** <br /> <br />/~~ <br /> <br />MECHANICAL / <br />Signatur~LCP-- <br /> <br /> <br />m!lPANY J'iaLM %~~ A'-? '/I,K- <br />State Cert. or Regist. I <br />City License Registration I .d-7tf <br />***********************'******************* <br /> <br />0'I1IER <br /> <br />Signature <br /> <br />OO!IPMY <br />State Cert. or Regist. , <br />City License Registration , <br />*****************************************'* <br /> <br />AFPLICA <br /> <br />'BY <br /> <br /> <br />CER. <br /> <br />i,~ <br />;';""'.~.'.~..;;',v' <br />....,., r ....~ \of, ."" '"' _ ~ <br />~ f . JlfflI.';} <br /> <br />. . .Jr,. :... <br />_ ~A 10 (HfSt~ .. <br />~~.=,tM <br /> <br />",' <br />.",,~ <br />