Laserfiche WebLink
<br />- <br /> <br />APPLICATION FOR PERtIIT <br />CITY OF ZE:J.lHYRIIILLS <br />BUILDING DEPARTHRINJT <br /> <br />OWNER' S RAKE ~"i h r:.ncl 6::fLw-y Sizl//'-€ .5 MIONE r? 13 - 0 OZ / - Ocx 00 <br />OWNER'S ADDRESS ~c:;:.~ t:D1t{'/ A2fp7p1C-/ ~t/r..eS <br />, / <br />JOB ADDRESS # S -4 aL1 (l K'a ~ i/1 l./ <;"'72:J Y...P S- <br />f <br />LEGAL DESCRIPTION: IDr(S) BI..OCK St:mDIVISIO~ <br /> <br />PARCEL LD.# <br /> <br />WORK PROPOSED :_If\Tew Construction _Addition _Alteration _Repair _Ins tall <br /> <br />~Sign <br /> <br />~I!fove <br /> <br />_De.-olish <br /> <br />PROPOSED USE: Single FaDlily <br /> <br />_KIF <br /> <br />_, of: Units <br /> <br />_H/H <br />,~~~ ~~,Other <br /> <br />_CoImercial <br /> <br />_Indust. <br /> <br />_Swi.. Pool <br /> <br />_Rest:aurant & Health DeparhDent Approval <br /> <br />BUILDING SIZE: X Square Fee t. He igh t <br />~ <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SEJ'S"()F-iUII.DING PI.MS & (1) SET~ERGY FORHS. ** <br />COHKERCIAL : .....--ATTACH (3) SETS OF BUILDlllG PLANS & (1) SET ENERGY FOIt."'IS.H <br />**COPr OF CONTRACT RIl'Qm:RED. <br /> <br />Y-- S16f1) <br />_BUILDING <br /> <br />PERmTS REQIW_'iTED <br /> <br />$ <br /> <br />Valuation of: Total Construction <br /> <br />_ELECTRICAL <br /> <br />MfP Service <br /> <br />Florida. Power COrp. <br /> <br />W.R.E.C. <br /> <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 CONSTRUCI'IONf: _Block _FraIIe _Steel <br /> <br /><) (6'11) <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIOlliS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />*****~~~*~*~**~*~********~**************** <br /> <br />CONTRACTOR SECTION <br /> <br />nUILDY.R <br /> <br />CDIlfPMIIY <br />State Cert. or Regist. 4# <br />City License Registration # <br />****~*~****~~*~*************************** <br /> <br />Signature <br /> <br />EI.ECTRICIAN <br /> <br />CO!IPMW <br />State Cert. or Regist. , <br />City License Registration f <br />~***************************************** <br /> <br />Si!mature <br /> <br />PLOKBER <br /> <br />COItPABY <br />State Cert. or Regist. I <br />CitY'License Registration I <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />CDIlfPMW <br />State Cert. or Regist. f <br />City License Registration I <br />**************.*************************** <br /> <br />Signature <br /> <br />r- <br /> <br />OTHER SI't9N"~ COlD'An kiP9<-&.<<fn-/ ,V/lL= 4k; <br />State Cert. or Regisr:. 1# ES- C)c::)c)O ~ <br />Signature ~ ~ . /a::;~ City License Registrat:ion , . . 9fC{-. .... . <br />~ * **** **************************** <br /> <br />i.:8 fr."!:: ~ I <br />u, ruut:.-./ / <br /> <br />APPLICATION APPROVED BY <br /> <br />PEIt.~T OFFICER. <br />