Laserfiche WebLink
<br />APPLICATIGOO FUR PRRKIT <br />GI'IY OF ZEPBYRBILLS <br />BlJfILDlliIG DEPARnIE'NIT <br /> <br />~~OItA Oe~r.-s:. <br />k 1~A <br />2pp~~ ~I\-LS <br /> <br />/'\ <br /> <br />OWER'S NAME Keq Qt\. <br />OWNER'S ADDRESs-10Lio). <br />lDQ2.5" <br /> <br />~, <br /> <br />fJ. <br /> <br />n o{t. (lJ/~. <br /> <br />wJ <br /> <br />JOB ADDRESS <br /> <br />oa..wd~cc~ <br />3 <br /> <br />LEGAl. DESCRIPl'ION: LOT(S) <br /> <br />PARCEL I. D . :f <br /> <br />PHoe <br /> <br />q3/-Uj 2.-:1 <br /> <br />( lorv#01\ <br /> <br />~~ <br /> <br />r- [.,1lIOPl <br /> <br />BLOCK__SUBDIVISIOlNl DnlOi.l\I'TvXo.~d IIiJJb.. <br /> <br />WORK PROPOSED:~l!ew Construction ---p\ddition _Alteration _Repair _Install <br /> <br />_____Sign <br /> <br />PROPOSED USE: <br /> <br />'I.. Single Faai1y <br /> <br />_~rcia1 <br /> <br />_Hove <br /> <br />_KIF <br /> <br />_Deao1ish <br /> <br />_, of Units <br /> <br />_K/H <br /> <br />_Swia. Poo1 <br /> <br />Other <br /> <br />_Indust. <br /> <br />_Restaurant &: Health Depart:.ent Approva1 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />'3~lOl <br /> <br />Square Feet, <br /> <br />10' <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <br /> <br />ATTACH (2) PLOT PLAlNIS &: (2) SETS OF BUILDING PLOS &: (1) SET ENERGY FORKS. ** <br />ATrACH (3) SETS OF BlITI.Dll/IG PLAlNIS &: (1) SET ElffiRGY FORKS.** <br />**COFY OF CONTRACT REQumED. <br /> <br />~BUILDI'NG <br /> <br /><.l:) <br />I ~1,o0() . <br /> <br />$ <br /> <br />_ELECTRICAL <br />-LtlECllMUCAL <br />-t-PLUKBIBG <br /> <br />AKP Service <br /> <br />$ <br /> <br />lP <br />5,000. <br /> <br />TYPE OF CO'NSTRUCTION: <br /> <br />GAS <br />1B1ock <br /> <br />_Fr:me _Stee1 <br /> <br />IS PROJECT IN FLOOD ZOlNlE AREA? <br /> <br />:i- <br />NO <br /> <br />FIl'iISHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />****************************************** <br /> <br />YES <br /> <br />~TS REQUESTED <br /> <br />Va1uation of Tota1 Construction <br /> <br />F10rida Power Cbrp. <br /> <br />W.R.E.C. <br /> <br />Va1uation.. of Hecbanica1 Instal1ation <br /> <br />ROOFDlG <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />CU1'n"RACJOR SRCT'ION <br /> <br />Signature <br /> <br />~)..{)d- <br /> <br />COHPMiY Os> " C J.l:v,A\MJ "'t1;;'" , ~. <br />/J _ - State CerL or RegisL 4# C.61("()~-Bb~ <br />~ City License Registration 4# 3 8 <f <br />****************************************** <br /> <br />BUILDER <br /> <br /> <br />OOIIfPANlY bt\"'IlJ~ ~1..12l":rLl<'" ~/ <br />State CerL or RegisL #i= U ()fJoO .(z....'2- <br />City License Registration f .QS'l <br />*t.7**~r********~**************** <br /> <br />~ANY .'E C A <br />5.::ate CerL or RegisL <br />City License Registra <br />***"'**11.."'....* ;\!;:'" ,L.",******************** <br /> <br />Si <br /> <br />PLlJIKBER <br /> <br />Signature <br /> <br />KEGllARICAL <br /> <br />Signature C)/l~ /iYl~ ~ <br /> <br />**"'**"'****** ' <br /> <br />OTHER. <br />R.OOF <br />Signature <br /> <br />~A'+ rf)ALVt~ <br /> <br />"'***"'*"'*******~. <br /> <br />PERKIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />CDltPAB'l( )OA-rlcO<2~S~ ~, <br />S~te ?ert. or R~gist. . ( /1 (' 9.lJ. 7.37) <br />C1ty L1cense Reg1strat1on I c <br />~**."'***"'****"'~****"'********* <br /> <br />COltPANY <br />State Cert. or Regist. 4# <br />City L1cense Reg1stration j <br />.~~~**~~~******~********** <br />