Laserfiche WebLink
<br />APPLICAnmW FOR PERKIT <br />CITY OF ZEPIIYRIIlLLS <br />BUII.DIliG DEPARIKI!'Rr <br /> <br />.... <br /> <br />OWNER · S liAKE <br /> <br /> <br />712- ~;-~7~ <br />, <br /> <br />OWRER' S <br /> <br />JOB ADDRF-SS ' <br /> <br /> <br />h <br /> <br />LEGAL DESCRIPl'ION: IDI(S) <br /> <br />BI.OCK <br /> <br />SUBDIVISIOli <br /> <br />PARCEL LD.' <br /> <br />WORK PROPOSED:_1Iew Construction _AddiLion _Alteration _Repair ~nstall <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_DeIIolish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_"IF <br /> <br />_' of Unit:s <br /> <br />_K/H <br /> <br />~~rcial <br /> <br />_Indust. <br /> <br />_Swill. Pool <br /> <br />Oilier <br /> <br />_Restaurant &: Healili Depar~t Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESlDEHTIAL: <br />cottttERCIAL : <br /> <br />A'ITACII (2) PI.OI' PLMS &: (2) SEIS OF BUlI..DING PIAliS &: (1) SET ENERGY FORMS. ** <br />A1TACB (3) SEI'S OF BUIIDING PLMS &: (1) SET EHRGY FORtIS.** <br />**COPT OF CON'J'RACf RE.QlJJIRED. <br /> <br />PERKIlS REOUESTED <br /> <br />_BUILDIHG <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'l'RICAL <br />~CIIAIIlCAL <br /> <br />MIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ /,;7(11') ,cf?) <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBIHG GAS ROOFING <br />TYPE OF CONSTRUCTION: Plock _FraIIe _Steel <br /> <br />SPECIALTY <br /> <br />Oilier <br /> <br />FIIISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEct III FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />Signature <br /> <br />COIII'RACIOR SECl'ION <br /> <br />O>>IPAIIY ~ t<,,~,-2' j..:,~ ~ <br />State Cert. or & gist:. I. . . 7 <br />Cit:y License Registrat:ion f <br />****************************************** <br /> <br />BUILDER <br /> <br />SiPnature <br /> <br />COIIPARY <br />State Cert. or Regist:. I <br />City License Regist:rat:ion t <br />****************************************** <br /> <br />ELEC'l'RICIAN <br /> <br />COIIPMW <br />State Cert:. or Regist:. I <br />Cit:y License Registrat:ion , <br />****************************************** <br /> <br />PI.lIIBER <br /> <br />Signature <br /> <br />IlEaIAIIICAL ampAft 4ftUA;!i. ~d~~ <br />d, ~ Suo. Cert. or Be -'st. # > _ _ _ _] <br />Signature ;c::: #pA/VL/ City License Registration t c~".:? I <br />? ****************************************** . <br /> <br />omF..R COIIPMY <br />State Cert. or Regist:. f <br />Signature City License Registration . <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />