Laserfiche WebLink
<br />APPLICATION FO~ PERMIT <br />CJ:TY OF ZEPif'tKHI.LLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT IfL4'~~ 5 if ~ <br />ADDRESS ? g t,/- 55"- ,~ d~ '- 5 ~~~ PHONE 7 %0<- S' 5""'/ P <br />OWNER /!~~~ ,,' .(f~.L<..c <br /> <br />JOB LOCATION <br /> <br />LOT SIZE_____~ A~A SQ. FT. <br />& (!~ trrl 3. "7 {vv/I}; tv\() Jt ?x/fJC, <<lA~ ;LI ~~~ /-1-'"/ / to (tJ1-tf. '";Y" <br />LEGAL DESCRIPTION: LOT(S)l PI./4;11,utdt'7f.. J/"Z-' BLOCKX . SUBDIVIg'IONk ~ k&~2h1?) u5 . <br /> <br />PARCEL I.D.#)( ()~!J -r?-b-;ll-' OO~O .-1 \?()O --nD3o <br /> <br />WORK PROPOSED:____New Construction _Addition _Alteration _Repair _Install <br /> _Sign/Temp. _Sign _Move ~lish <br />PROPOSED USE: _Single Family _M/F _# of Units. ._M/H <br /> _Commercial _Indust. _Swim. Pool Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: /!f X 3'b . <br /> <br />(r;f/l?' <br /> <br />Square Feet, <br /> <br />/t:-J r <br /> <br />. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />I <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Sit:mature <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />*********************~******************** <br /> <br />~, <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cere. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />~u <br /> <br />.. ~.W) .~(3 .~~ <br />toIltrs. -, ~ ~ ,.r.,. ""'. <br />,,~.iV-, .. J. .;.,.;.,., <br /> <br /> <br />PERMIT OFFICER. <br /> <br />A <br /> <br />;,{, .f. <br /> <br />nr.'.......l... '. <br />t . '~"'1' <br />;. _.~ <br /> <br />'."'.""'~-...:.:> <br />