Laserfiche WebLink
<br />- <br /> <br />APPLICATIOlNl FOR PERlln'T <br />CITY OF ZE.'PJIYRlUI.I_<; <br />B1lIIIJ)IlNlG DEPA'RT1HRl'IT <br /> <br />~"I~.. <br /> <br />, ~''''\'()N\ \2 K ~C\ <br />... .~~Ji~.l-.... ~ ~ l~df " \ ~ 'fu ~__ <br />\ 'Z~ ~ <br /> <br />i:, <br /> <br />pno~F. ~ 1-2:> - "l~% - ;)3)y <br />7E-'pf\'1r'h, \\~ " <br />LP P\\"-Jr1'\ \ \ \ S <br /> <br />Ilo. 6 ~ I "-"l "S t.Af IE <br /> <br />r- <br /> <br />. ~'?,~t~l <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />RT.ocK <br /> <br />SUBDIVISION <br /> <br />~.~_. ('-);'::)-8lo.~8\ .rn~-.c):)Scr)-CD~() <br /> <br />"'URK PROPOSED:_!/Lfev Construction --.J\ddition _.lUteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Demolish <br /> <br />PROPOSED USE: <br /> <br />Single Falllily <br /> <br />_H/F <br /> <br />_, of Units <br /> <br />_li/H <br /> <br />_Coaaercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <br /> <br />ATTACJI (2) PLOT PLANS & (2) SEI'S OF llu;IIJ>ING PLANS & (1) SET ENERGY FORMS. ** <br />ATTACH (3) SETS OF BUILDING PIJ\Ns & (1) SET EiNEr.RGY FOR~IS.~!: <br />HCOPY OF CONTRACT REQUITRED. <br /> <br />PERmTS REQUP:STED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of-Total Constnlction <br /> <br />_ELECTRICAL <br /> <br />.MJ1r'n A 1LTT rAT <br /> <br />s <br /> <br />AMP Service <br />3,COQS) <br /> <br />Florida PO\oI'Cr COrp. <br /> <br />W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLlJMBTNG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION!: _Block <br /> <br />_Fr3IIIC _Steel <br /> <br />Other <br /> <br />FIHISlIED FLOOR E'L.EV A TIOJI~S : <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE ARR~? <br /> <br />***********************************~~~**~~ <br /> <br />YES, NO <br /> <br />CO/XITRACTOR SRCT'ION <br /> <br />nun.DF.'R <br /> <br />CUlHPAINY <br />State Cert:. or Rcgist:. #! <br />CiLy I..icensc !{egistration #: <br />****************************************** <br /> <br />Signature <br /> <br />RT.P.CTRICTAN <br /> <br />a>>IPANY <br />State Cert:. or Regist. fIi: C,. <br />'.''''eity I.icense Registration f <br />*~*~***~*******.*~*******~***~*~********** <br /> <br />SiRTlatl1re <br /> <br />t <br /> <br />PUmRER <br /> <br />COHPAlNIY <br />State Cert. or Regist. m <br />City License Registration ~ <br />~**~*****~******************~*****~******* <br /> <br />Signa ture <br /> <br />N"'~.'--'''', <br /> <br /> <br />Signature [.~, L~ _ <br /> <br />~' ~' <br />,," COJIPANY rC('~ e.. b{:r: \ ". '-.- <br />~~/VJ " State Cere. or Regise. # ~R.~"'LJ:711' <br />, / I L-{ I City License Registration ~ <br />* ********~*~***~**~******~***~**~*******~ <br /> <br />0l'lTY.R <br /> <br />rouPANY' <br />State Cert. or Regist. ~ <br />City License Registration * <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPRO~TD BY <br /> <br />PF.Rffi.T OFFICER. <br />