Laserfiche WebLink
<br />'=..::.c..;.'....~""" <br /> <br />" <br /> <br />APF1~ICAr-'nllil FOR PERHIT <br />':::I'lY OF ZEl'BYRIIILLS <br />BUII.DlliG DEPARDIEXI' <br /> <br />OWNER'S RAKE k-l-II ~,5 } k'nt ~~y <br />OWNER. , S ADDRESS ~ 5' s """ OCl 1) ~ +. <br />.JOB ADDRESS 7 t.J ("J I (, A \ l B f V J ~ <br /> <br />PHONE <br /> <br />C...\-~ l C".....l~ - G:~/IIA'i <br /> <br />LEGAL DESCRIPl'IOI!f: UJI'(S) <br /> <br />BI.OCK <br /> <br />SUBDIVISIOR <br /> <br />PARCEL LD.' <br /> <br />WORK PROPOSED:_riev C'onstruction ~tion _Alteration ---..Repair _Install <br /> <br />S' <br />- 19I1 <br /> <br />_Move <br /> <br />_DeIIo1ish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_"IF <br /> <br />_' of lITni.t:s <br /> <br />_KID <br /> <br />_~rcia1 <br /> <br />_Indust. <br /> <br />_Swia. Poo1 <br /> <br />Other <br /> <br />_Rest:au.rant 5: aea1th Depart:aent Approva1 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COHKERCIAL : <br /> <br />AtTACH (2) PUJI' PLARS 5: (2) SEIS OF BUILDING PLARS 5: (I) SEl' ENERGY FORKS. u <br />ATI'ACB (3) SEIS OF BUILDlliG PLARS 5: (I) SEl' ENERGY FORMS. ** <br />**COPT OF CONTRACT KIlQUIRED. <br /> <br />PERlIIITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />va1uation of Tot:a1 Construction <br /> <br />_ELECTRICAL <br /> <br />AItP Service <br /> <br />F10rida Power COrp. <br /> <br />W.R.E.C. <br /> <br />_KEGHAlfICAL <br /> <br />$ <br /> <br />va1uatioa of l!fecbanica1 Inst:allation <br /> <br />_PUJKBING <br /> <br />GAS <br /> <br />ROGi DiG <br /> <br />SPECIALTY <br /> <br />" <br /> <br />TYPE OF CONSTRUCTION: _B1ock _F'raIIe _Stee1 <br /> <br />Other <br /> <br />F'IlIISHED FLOOR ELEVATIORS: <br /> <br />FT. <br /> <br />IS PROJECT Dl FLOOD ZOHE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br /> <br />mJIiI'I'RACIOR SECTION <br /> <br />Si <br /> <br />CO!IPARY <br />State Cert. or Regist. I ~ b L n..S 7 d. 77 <br />City License Registration I s...s "1 <br />****************************************** <br /> <br /><DIPADIY md7/;dp r ~1f. a'-J C <br /> <br />Stat:.e Cert. or 4(egist. I ~(~- ~<->O(J -32--C <br />City License Registration , _ ~ 'f <br />****************************************** <br /> <br />K.ECBANI~ _. <br /> <br /> <br />L /- <DIPAJJ'L~~i&f~~ <br />State Cert. or Regist. , , <br />~--..-City Lken.se Registration. /7/J <br />~**~~~~~~++~~+~~++.++++++++.+*+***+++** <br /> <br /><DIPAM M ,11~~ J</e- <br /> <br />State Cert:. or Regist. I j 2 ? <br />City License Registration' I ')... , <br />***********~~*****+*********************** <br /> <br />PLlltlBER <br /> <br />Sigoat:ure <br /> <br />CGlfPARY <br />State Cert. or Regist. f <br />City License Registration , <br />********~*****~*************************** <br /> <br />Sigoat:ure <br /> <br />APPLICATION APPROVED BY <br /> <br />71~Ad ~~I)A) <br /> <br />PERKIT OFFICER. <br />