Laserfiche WebLink
<br />OWNER'S <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPIIYRIIILLS <br />BDllJllliG DEPAR11IEJlJT <br /> <br /> <br />RAIlE q l \\. f c: >; "-- <;. ..( If) cJ I ~ <br /> <br />PHONlE <br /> <br />OWNER'S ADDRESS <br /> <br />~[) ( <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BI..OCK <br /> <br />SUBDIVISIOIi <br /> <br />PARCEL I. D.' <br /> <br />WORK PROPOSED:_liev Const::ruct::ion _Addit::ion _Alt::erat::ion _Repair _Inst::all <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deao1ish <br /> <br />PROPOSED USE: <br /> <br />Sing1e Faai1y <br /> <br />_H/F <br /> <br />_, of Unit::s <br /> <br />_M/B <br /> <br />_c:c:-ercia1 <br /> <br />_Indust::. <br /> <br />_Swill. Poo1 <br /> <br />Ot:her <br /> <br />_Rest:aurant:: &: Hea1t:h ))eparbIent:: Approva1 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet::. <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COHHERCIAL : <br /> <br />ATTACH (2) PLOT PLANS &: (2) SEIS OF BUILDHlIG PLUS &: (1) SEI' ENERGY FORMS. U <br />ATTACH (3) SETS OF B1ITIJ)lllG PLANS &: (1) SEI' ElffiRGY FORMS. ** <br />**COPI' OF C01'fl"RACT ~mRED. <br /> <br />PElmITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Va1uat::ion of Tot:a1 Const::ruction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECllANICAL <br /> <br />$ <br /> <br />Va1uation of Hechanica1 Installation <br /> <br />_PLUHBIHG <br /> <br />GAS <br /> <br />ROOFTIiG <br /> <br />SPECIALTI' <br /> <br />TYPE OF CONSTRUCTION: _B1ock <br /> <br />_Fr:me _St::ee1 <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIOlWS: <br /> <br />FI' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />OOMI'RACI'OR SECTION <br /> <br />BUILDER <br /> <br />COMPMilY <br />St:ate Cert. or Regist. I <br />City License Registration t <br />****************************************** <br /> <br />Signat::ure <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />Sl:ate Cert. or Regist. , <br />City License Regist::rat::ion I <br /> <br />o~" ..................~:..(r~:7i::~ Pk6;~ <br /> <br />\U 17 /l Sl:at::e Cert::. or Regist. , <br />tv (O;irr--- City License Registration I /? 5 <br />****************************************** <br /> <br />Sifmat::ure <br /> <br />PUJlKBER <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />Sl:at::e Cert::. or Regist::. , <br />City License Registrat::ion I <br />****************************************** <br /> <br />Signature <br /> <br />OTHER <br /> <br />S ignat:ure <br /> <br />COMPANY <br />Stat::e Cert::. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />