Laserfiche WebLink
<br />APPLICATIOlNl FOR PERMIT <br />CI'IY OF ZE.'PJJYRlllLLS <br />BUILDING DEPARl'KE'.lN1T <br /> <br />lll<l<ER'S NAME 11/1),114,/ m flMv C;..., 5.) 76/<:- , 1'I100E_(J'/V )d;;l- f tJ,fo <br />"""ER'S ADDRESS P r),g~.....S'-'h Z~'{}'&.I4 ~/, ?J'.r?i <br />JOB ADDRESS 37'109 LJ (... drl- W()u ~ (}t. 2f-~!YA-AI'/~ //1 <br />LEGAL DESCRIPTION: WI(S)' 7'-l BL.OCK SUBDIVISIOIN1 W r~J 91-wovd fY)/Jrvc.'Ifl.., <br />PARCEL LD.# IO:-;;(g~ Z/-OJ:;O-60vou- CJ7LJO <br /> <br />k'URK PROPOSED: ~~w Construction --..Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />-"<lve <br /> <br />_DeIIOlish <br /> <br />PROPOSED USE: <br /> <br />~le F3Jilily <br /> <br />_"IF <br /> <br />_, of Units <br /> <br />_MID <br /> <br />_CoImercial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Depart:lllent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t . <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTAClI (2) purr PI.AHS & (2) SEIS OF BUILDUIG PI,A~S & (J) SET ENERGY FORMS. ** <br />ATrAClI (3) SE.TS OF BUILDll1G PLAlNlS & (1) SEIT' ENERGY F'OR~IS.'l!:~ <br />*~COPY OF CONTRACT REQIDlUl'D. <br /> <br />FERn-ITS REQUP'$TED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Constnlction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida P~"er Cbrp. <br /> <br />~.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 CONSTRUCITO~: _Block <br /> <br />_Frase _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIm~s: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONY. AR~~? <br /> <br />YES NO <br /> <br />***************************'l!:************~* <br /> <br />CONTRACTOR SHCTION <br /> <br />RUII.DY.R l '\.~ cr>>fPAWfW. ;fNf-,() ,-?1gA./A/ t;i1/s:/. -Z--c. <br />/f /' I Sl:ate Cert:. or RcgisL fit O<-lc.Jfi"V/ <br />Signature t!_J/. UJ.(- City *~~~: Registration;; '- <br />*~*******************~********~~***~ <br /> <br /> <br />~ ~:e Cert. or Regist. * <br />5i . ~ CiLy License Regist.ration <br />****************************************** <br /> <br /> <br /> <br />PLUMBER <br /> <br />/ 'j <br /> <br />i / .. ~ <br />i / / // <br />\ t(jV\~J/ )l 0?iL- <br /> <br />COHPANY (J. ~ q { (~~ ~~/ <br />State Cert. or Regist. #i <br />Cit:y I,icense Registration t1 <br />***********************************'l!:****** <br /> <br /> <br />Signa ture <br /> <br />/d-.S <br /> <br />Signature <br /> <br />Q <br /> <br /> <br />COHPAlIW KiN ~...w <br />State Cerl::. o'r: Regist;/.' it: <br />City License Registration g <br />*************************************** <br /> <br />L4A-r//aK <br />C>O~V)::J.. <br />71 <br /> <br />MP..CR.MoIT CA L <br /> <br />0TlfY:R <br /> <br />C01fPANY <br />State Cert. or Regist. * <br />Cir:y License Registration lit <br />****************************************** <br /> <br />Signa ture <br /> <br />APPLICATION APPRO''Y.o BY n<74 x1 ~ <br /> <br />PF..&'lfIT OFFI CRR. <br />