Laserfiche WebLink
<br />APPLICA'1'TiU~ FOR PERlltIT <br />CITY OF ZE:PHYRIJILLS <br />BU,ILDING DHP~KENT <br /> <br />OWNER'S N..o\K.E <br /> <br />j///h-LJ . ffu.e. <br /> <br />:3 g ';;;-/7 ttV/ AJLJFc.ocU~~ " ,Z";;a1YA,~ I k4r 33S7'O <br />~ <br /> <br />PHONE <br /> <br />f/3 r- 7%2 ~2-2 7(. <br /> <br />OWER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D . # <br /> <br />WORK PROPOSED~ew Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_I!tove <br /> <br />_Deaolish <br /> <br />. ".. ~" <br />. - , <br />" . <br /> <br />, <br /> <br />PROPOSED USE: Single F3IIily _KIF _' of Units <br /> _eo-ercial _Indust. _SWI... Pool <br /> _Rest:aurant &: Health Departaent Approval <br />BUILDING SIZE: 28 x5b J5t:.8 Square Feet. <br /> <br />~H/H <br /> <br />Other <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <br /> <br />( ::':'70 12.7 Height <br /> <br />ATTACH (2) PLOT PLMS &: (2) SETS OF BlITLDHiG PIJ\NS &: (1) SET EliERGY FORMS. ** <br />ATTACH (3) SETS OF BUILDDlG PLAlNlS &: (1) SET ENERGY FORKS.** <br />**COPY OF' CONTRACT RE'QUJTlRED. <br /> <br />PEBMIYS REQUE..'iTED <br /> <br />~ BUILDING <br />~ELECT.RICAL <br />~HECHANICAL <br />~PLmmING <br /> <br />$ ,e 1 fg'() <br /> <br />I~o <br /> <br />Valuation of Total Construction <br /> <br />AKP Service <br /> <br />~_Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />s <br /> <br />13s:o <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFDiG <br /> <br />/YLl-+--. <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr.-e _Steel <br /> <br />MH. <br /> <br />Other <br /> <br />FInSHED FLOOR ELEV'ATIOIWS: <br /> <br />YES <br /> <br />~ <br />NO <br /> <br />FI' . <br /> <br />IS PRO.JE:CT IN FLOOD ZONE ARE.~? <br /> <br />ttttt~t~tttt~tt*tt~******t*******tt~~*~t** <br /> <br />CONTRACTOR SECT'ION <br /> <br />~ // OOHPMWI..J'R.. T~ <br />J ~"~ State Cert. or Regist. # <br />Signature . C9S"~ City License Registration # <br />/ ****t**t~*-I:*"'*"''''*t*t**".. ~**********i!c***t*** <br /> <br />mo. {tv. 2'",lC._ <br /> <br />8UILDER <br /> <br />35C:. <br /> <br />ELECTRICIAN <br /> <br /> <br />amiPANY (! , II. ~ d~ El~r;t:;zc; <br />Stat.e Cert. OlVRegist:. #i: <br />City License Registration ,.3.!;; <br />***~~*t*~~~~~~~~*********~***** <br /> <br />Si <br /> <br />PLUlKBER ~. cmtPMrr ;J c k<r?J ~ /"1-,..-,..J . <br />&~ Stat:e Cer!:. or Regist.. :f# <br />Signature ~t*****tt~~***~~~~*;~~::::*~::~:~::~~~: I /~g <br /> <br />KECHARICAL ~ cmtPANY !3AIfI2S /'/do/l/WG 6A5 <br />State Cert. or Regist. :f# <br />Signatur~ ~ ~ ~ ~ City License Registration 1'1 <br />. t*~~**~~K*t~~*~~~t***~~~~~***~~~~t**~~*tt~ <br /> <br />* /'MfJ/'t1.Jt!: <br /> <br />78 <br /> <br />OTHER. <br /> <br />(;::l}ID'A.VY <br />State Cert. or Regist. #i: <br />City License RegisLra~ion * <br />*****t*~~t*********~**y~***~*****t**t***t* <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />l~ <br />~ \k~."'''. <br />" <br /> <br />PERMIT OFFICER.. <br />