Laserfiche WebLink
<br />A'PPL,IGATION fOR PERnIT <br />CITY' OF ZIl:PlffRHILtS <br />BUIWIIIG IlEPARlftH.NT <br /> <br />otiNER"S "^"E <br /> <br />Ib-~WL'~ <br /> <br />eoN fit Iv ..c-h': ~ rT~ G '1 ~ .fHOlIF. <br />388 /f<I 5~/tue <br />"388 cfv S--t6. /fv~ <br /> <br />813- 7RB-otlfp <br />;Z ~/17f-"J' Is H. <br />2c-ptlyllA'rI/<; ~( <br /> <br />OWNER"S ADDRIl'SS <br /> <br />.JOB ADDRIl'SS <br /> <br />LEroAL DF.S(:'RIPTIOW: wr(s) <br /> <br />RIncK <br /> <br />SUBIHVlSION <br /> <br />PARCEL I.D.I / / -;7 (; - ;}-/- 0 OlD - i ],100- 0 oi 0 <br />_AddU ion _AlteraLion _Repair ~nstall <br /> <br />WORK PROPOSIID:_1NIew ConstrucLion <br /> <br />_Sign <br /> <br />_Hove <br /> <br />__De-.o.lish <br /> <br />PROPOSED USE: <br /> <br />/ Single Fa.ily <br /> <br />_KIF <br /> <br />_' of UnlLs <br /> <br />_K/8 <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Swill. Pool <br /> <br />Other <br /> <br />_Restaurant 5- Health Departlleflt Approval <br /> <br />RUH.DING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />(:omtERCIAI~ : <br /> <br />ATTACH (2) PLOT PLANS 5- (2) SI!:IS OF BUILDING PUUilS &: (1) SEI' ENERGY FORKS.u <br />ATTACH (J) SETS OF BUILDING PLANS &: (l) SKI ENIIRCT FORKS..... <br />......ooPT OF OOINlTRACT RtrQIHRIlD. <br /> <br />PERlIIl.TS REOUESTED <br /> <br />_RUU,DING <br /> <br />$ <br /> <br />Vah.ation of Total (:.otJstn.ction <br /> <br />_ELECTRICAL <br />-LKHCHAIHCAL <br /> <br />NIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.R.C. <br /> <br />$ <br /> <br />r? D~19 ' '9..9 <br /> <br />Valuation of Kecbanica.l Installation <br /> <br />_PLUKBING <br /> <br />GI\S <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCI'lOlli: _Block --"'ra.e _SLee.l <br /> <br />Other <br /> <br />FINISHED FLOOR RL,EVATIOJriS: <br /> <br />FT. <br /> <br />IS PROJECT IN fLOOD ZOBE AREA? <br /> <br />YES NO <br /> <br />.......................................................................................................................... <br /> <br />C05I'RACIOR SECI'ION <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................................................................................................... <br /> <br />BUILDER <br /> <br />ELECIRlCI.AN <br /> <br />Silmature <br /> <br />mtlU"MfI' <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................................................................................................... <br /> <br />Signature <br /> <br />COIfPAR1' <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................................................................... <br /> <br />PLUllBER <br /> <br /> <br />WJlPMfY &~~~~. / ~ ' <br />State Cert. 0[' Reg1st. I 0 q;;;l. ~ ~ 7 <br />City License Registration # ~~ <br />..................................................................................................................... <br /> <br />OTHER COPIPMn' <br />State Vert. or Regist. , <br />Signature eit.y License Registration , <br />.......................................................................................................... <br /> <br />APPI.ICAnON APPROVHD BY J1.r1'~'~~O~:J-- PEIlIlIT OPFlCER. <br />