Laserfiche WebLink
<br />APPLic&'i."io~ FOR Ji>RRKIT <br />GI'IY OF ZIl:PIIIKiffT.i_'i <br />BUIIJlIJiG DEPAR'IT/IEm' <br /> <br />JOB ADDRESS <br /> <br />j)'WfJRP <br />~t.)g Nj/?~tJ~ <br />"2 fPJI y,q;-))~ L.5 / <br />r:-- <br />. . / <br />, <br /> <br />Y0 1.. L f" ~ 'r- <br /> <br />PIlOn <br /> <br />OWNER'S HA!fE <br /> <br />OWNER'S ADDRESS <br /> <br />;:::-1. <br /> <br />LEGAL DFSCRIPl'ImI: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br /><.J j, Vi: If1 <br /> <br />PARCEL I. D. f <br /> <br />,";J - =i!~"-- ~J <br /> <br />Jd <br /> <br />f) - ~~ 7 <br /> <br />WORK PROPOSED :+lIew Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single F;mily <br /> <br />----1I/F <br /> <br />_K/H <br /> <br />_~rcial <br /> <br />_' of 1lJnits <br />-A-Swia. Pool <br />_Restaurant &: Hea1t:h Depart:aent Approval <br /> <br />_Indust. <br /> <br />Ot:her <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COttKERCIAL : <br /> <br />A1TAGH (2) PLOI' PLUS &: (2) SETS OF BUII.DING PLDS &: (1) SEt' ENERGY FORKS. u <br />ATTACH (3) SETS OF BUII.DDIG PLUS &: (1) SEt' ENERGY FORKS. ** <br />**COPT OF COWl"RACl' RIlQ1lJIRIlD. <br /> <br />PERnITS RECUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Tot:.a.1 Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_K.EGHAIilCAL <br /> <br />$ <br /> <br />Valuatioc of Mechanical Installation <br /> <br />_PLUKBlllG GAS ROOFTItiG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fra8e _Steel <br /> <br />Other <br /> <br />FTIiISHED FLOOR ELEVATIOBS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD zon AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CODIITI1L\CIOR SECTION <br /> <br /><DIPMY' <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />RmT .DRR <br /> <br />Signature <br /> <br />ELECTRICIAH <br /> <br />CO!IPARY <br />State Cert. or Regist. , <br />City License Registration f <br />************************~***************** <br /> <br />. SiPn::lture <br /> <br />CO!IPABY <br />State Cert. or Regist. I <br />City License Registration t <br />****************************~************* <br /> <br />PUJKBER <br /> <br />Signature <br /> <br />a:JIIiPANY <br />Sta~e Cert. or Regist. t <br />City License Registration I <br />**********************ft**** ************* <br />,--:;- <br /> <br />KECllAllICAL <br /> <br />Signature <br /> <br />OTRF.R <br /> <br /> <br />k<<?7Z' <br /> <br />Signature <br /> <br />, <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />