Laserfiche WebLink
<br />APPLICATIOIiI FOR PERtlIT <br />CI'IY OF ZEPIIYlUnU..s <br />BUILDDJG DEPARIHE'.!iIT <br /> <br />OWNER'S NAIlE fY1(j( a.qff}::{OVt17. " <br />OWNER' S ADDRESS~ 7 0 ;;ta~ <br />JOB ADDRESS fJ.0 0 r/ e ' <br /> <br />PlIoNE (g g - 995 / <br /> <br />~SL <br /> <br />LN <br /> <br />LEGAL DESCRIPl'ION: LOT(S) BL.OCKrJ1l~O SUBDIVISIOIfi .s ~ ad V <br />L 0 - ~-E, -2-/- 0 () (0 - 01 3()O-Cl 0 <::> c I <br /> <br />f&1: <br /> <br />PARCEL LD.I <br /> <br />KORK PROPOSED:_!!ifew Construction _Addition _Alteration _Repair _~Install <br /> <br />_Sign <br /> <br />_l!Iove <br /> <br />_De.olish <br /> <br />PROPOSED USE: <br /> <br />S ingIe Faail:y <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_R/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Rest:aurant &: llealth Deparblenl: Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHKERCIAL : <br /> <br />ATTACII (2) PLOT P.I.ABS &: (2) SEIS OF BUILDING PL..I\I!iS &: (1) SET ENERGY FORM.<;. H <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOm-IS. U <br />**COPY OF COI!ITRAC"J." REQm::RED. <br /> <br />PERKITS REOlW..5TED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />,~ ~€f'~ <br />( <br /> <br />Valuation of Tot:al Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Cbrp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />s <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFlliG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _FraBe _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIOHS: <br /> <br />FI' . <br /> <br />IS P.ROJECT IN FLOOD ZONE AREA? <br /> <br />),"'ES NO <br /> <br />***********************************~~~**** <br /> <br />COMRACTOR SECTION' <br /> <br />COHP.MIIY <br />State Cert. or Regist. , <br />City License Registration # <br />****************************************** <br /> <br />8UILDER <br /> <br />Signature <br /> <br />Sismatllre <br /> <br />COlIPANY <br />State Cert. or Regist. # <br />City License Registration f <br />****************************************** <br /> <br />ET.ECTRICIAN <br /> <br />CU!lPAHY <br />State Cert. or Regist. , <br />City :L.icense Registration i <br />***********************************~~*~~~* <br /> <br />PLmfBER <br /> <br />Signa ture <br /> <br />COlIPANY <br />State Cert. or Regist. , <br />City License Registration t <br />****************************************** <br /> <br />HE.CHAHICAL <br /> <br />Signature <br /> <br />L7 00 r- 1',u0 <br />01'1IER (\ 1 <br />Signatur-V 1 j~l <br />(\- / <br /> <br />. .I. Q'}:tIPMfi <br />.~/,/ State Cert. or Regist. , <br />~~~ City License Registration <br />I~*************~*~***~~~=*~~************** <br /> <br />f ~~~p~~;-lj)r <br /> <br />APPLICATION APPROVED BY <br /> <br />PER.~T OFFICER. <br />