Laserfiche WebLink
<br />APPLICATIOl!il FOR PE:RK'LT <br />CI'IY OF ZEPIIIRHILLS <br />BOILDmG DEPAR'DIElNlT <br /> <br />OWNER I S HAHE 1)vJ L G H-"J I h f Jt:-I tV S <br />OWER'S ADDRESS 2..e S S t; 5 r" J?- () " <br />JOB ADDRESS r+ is 2-~ ^ I fZ-t' D IL", R.o kP <br />LEGAL DESCRIPTION: LOT(S) 5' <br /> <br />PHOe <br /> <br />78~ - <br /> <br />q47q <br />FL <br /> <br />54 \I1/~r I l,JE5LEy CHf.lr1OeL <br /> <br />ZlZ-f H "tt. W1 L-L S Fl-- .:S "5 '5 +0 <br />, <br />BI..OCK: SUBDIVISION <br /> <br />PARCEL I. D. f <br /> <br />13 ,/ U; - t.l - 0000.- 00 I 00 ,- 00 z. ~ <br /> <br />WORK PROPOSED :_l1ew Construction _Addition <br /> <br />/Al - <br />_ terat10n <br /> <br />_Repair <br /> <br />_Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: Single Faaily <br />/' ec-ercial <br /> <br />_KIF <br /> <br />_, of llInits <br /> <br />_H/H <br /> <br />_Indust. <br /> <br />_S..n.. Pool <br /> <br />Other <br /> <br />_Restaurant &: Health ~t Approval <br /> <br />BUILDIHG SIZE: roo X es , <br /> <br />6':500 <br /> <br />Square Feet, <br /> <br />?-J-' 0 II IA/A1.1.- <br /> <br />Height <br /> <br />. RESIDEHTIAL: <br />cottKERCIAL : <br /> <br />ATTACH (2) PI.OI' PLAliS &: (2) SEIS OF BUILDING PLUS &: (1) SET ENERGY FORKS." <br />ATTAaI (3) SEI'S OF B1ITI.DDiG PLOIS &: (1) SET DERGY FORMS. *~ <br />**copy OF CONTRACT RIlQm:RED. <br /> <br />PERKITS REQUESTED <br /> <br />/ BUILDING <br /> <br />$ <br /> <br />5 5c-c <br />I <br /> <br />~ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HEGllAHICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBIHG GAS ROOFING <br />TYPE OF CONSTRUCTIOl!il: ~lock _FraIIe ../' Steel <br /> <br />SPECIALlY <br /> <br />Other <br /> <br />FIIiISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />ClWI'RACIOR SECTION <br /> <br />Signature <br /> <br />COl!IPMff C-~S$. CDNC;'r, C'c. <br />State Cert. or Regist. if <br />City License Registration #/: (, ~ <br />****************************************** <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />COl!IPM'Y <br />State Cert. or Regist. , <br />City Licefibe Registration t <br />*************************~**************** <br /> <br />Simt::lture <br /> <br />PLOHBER <br /> <br />COl!IPANY <br />State Cert. or Regist. , <br />City License Registration . <br />*********.**************~***************** <br /> <br />Signature <br /> <br />KEalABICAL <br /> <br />COl!IPAlJY <br />State Cert. or Regist. I <br />City License Registration I <br />****************************************** <br /> <br />Signature <br /> <br />0T1JF.R <br /> <br />...,".~;.:.~ f r i"*,"_~.f~"':_-~-' <br />., ....~:~;~d;~-~(j ~,,!~ ::.t(/:d ~- <br />! .'1 t~. <br /> <br />C4Jllhv!Y <br /> <br />State Cert:!,.or Regist ;,. .'~".,~ <br /> <br />City Lic 'e Regist@ti.9n"'f <br />*******.****~'I.:,:.************ *.....~.....':Ii'**. <br />I r ( ~ ,'. .' -.~ ~ '. " -' -)' IIl_ ~'" 1 'WIU <br /> <br />~~.~., <br /> <br />Signarot <br /> <br />.....-...,..~~ .,',._.......:.~~.'" <br /> <br />>1~~ c;J<~ <br /> <br />",--1 <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />