Laserfiche WebLink
<br />APPLlCA"['IO~ FOR PERHIT <br />CITY OF Z!l'PHYRlULLS <br />BUTILDl II>!IG DE:PARYKH,1foIT <br /> <br />OWlfER 'S NAME IJt ~ -+ f?1 R S <br />OWNER'S ADDRESS t; t) I ~ <br />~ /l mF <br /> <br />~~T~ <br />(7_19 p?1 e(?> <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPITON: Wf(S) <br /> <br />BLOCK <br /> <br />S(])BDn"ISIO~ <br /> <br />PARCEL L D . # <br /> <br />h"ORK PROPOSED:_~~ Construction XAddition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deao.lish <br /> <br />PROPOSED USE: <br /> <br />Single F3IIIily <br /> <br />_H/F <br /> <br />_, of Units <br /> <br />_H/H <br /> <br />_CoBaercia.l <br /> <br />_IndUlS t. <br /> <br />_Swi.-. Pool <br /> <br />Other <br /> <br />_Restaurant & Bea.l~ Depart8ent Approval <br /> <br />BUILDING SIZE: / ;2 X S8. <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMHERCIAL : <br /> <br />A'ITACH (2) PLOT PLANS & (2) SEIS OF BlITLDI~G PLANS & (I) S:E::T ENERGY FORMS. U <br />ATTACH (3) SEIS OF BlITUHNG PLANS & (1) SET EOOERGY FOMS. u <br />"''''COPY OF COm"RACT RE'QUJ1R.ED. <br /> <br />PEIMITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />/9go <br />~ <br /> <br />Valuation of Tota.l Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power COrp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />s <br /> <br />Va.1uation of Mechanical. Instal.lation <br /> <br />_PUJKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION!: _Block <br /> <br />_FraJlJe _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR E:I..E:VATIO~S: <br /> <br />FT_ <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />"''''-f:-f:*'''*'''****-f:-f:*-f:*-f:*****-f:-f:****************", <br /> <br />BUTI.DY.R <br /> <br />(:o'!fP,Mff <br />\1-A .e>p...... /! 1 ' #d.., St:ate Cert:. or Regist. #F <br />~ /IL-f...u:> LV ~ Cl.t:y LIcense RegIstrat10n #t <br />*********-f:*-f:*******-f:-f:**"'*****"'*"'*",**",***** <br /> <br />OOl!iJTRACIOR SECT'IOIN <br /> <br />~., <br /> <br />Signature <br /> <br />~QY <br /> <br />ELECTRICIAN ClOOfPANY <br />St:ate Cert:. or Regist. 1# <br />Si~ature Cit:y License Registration I. <br />******-f:**-f:******-f:****"'*****************",** <br /> <br />PUlIKBER COlIfPANY <br />St:ate Cert. or Regist. , <br />Signature City License Registration i <br />*-f:****"'-f:**-f:**-f:********-f:****-f:-f:"'*-f:-f:**"'-f:**-f:"'* <br /> <br />KE,ClL\NICAL C01IPMff <br />St:ate Cert. or Regist. , <br />Signature Cit:y License Registration # <br />*"'*"'*"'**********************-f:****-f:*"'''''''*'''** <br /> <br />011IER cmtPANY <br />StaLe Cert. or Regist. 1# <br />Signature City License Registration I. <br />********-f:*************"'*"'''''''******'''*-f:**'''*-f:* <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />