Laserfiche WebLink
<br />APPLICATIOIi FOR PERHIT <br />CIn OF ZEPBYImILLS <br />BUlLDUG DEPAR'IIIHII'f <br /> <br />OWER'S IWIE K~ g<<r'k-&/tf' /~C PIIOrnrf"~/3) VZ2-cP2yO <br />OWIfER'S ADDRESS ?CJ? 7d4~.s A50e " ~~~..r tJr;, ; ~ ,-~',pY;Y <br />JOB ADDRESS 376~~ /'#c?e'-(~u.)e>c)ok' tJ.r'I'oe -" Z~/'/:I/tf ~ /;': <br />LEGAL DFSCRIPl'IOlM: IJJt(S) /15:;> BLOCK SOBDIVlSIOR ~e/~~u.)Ltc/ Cq~.r <br />PARCEL I.D.' 1.1..- .J-b.~ I - a / ~ 0 .- 000-00.-' /03 0 <br />WORK PROPOSED: ~Cons~ruc~ion .--J\ddition _A1~eration _Repair _Ins~all <br /> <br />_Sign <br /> <br />_lIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: b.~gle Faaily <br /> <br />_"IF <br /> <br />_' of Unit:s <br /> <br />---1f./H <br /> <br />_<=<-ercial <br /> <br />_Indus~. <br /> <br />_SwUI. Pool <br /> <br />Other <br /> <br />--3est:aoran~ & Hea1th Depart:aen~ Approval <br />BUlLDIRG SIZE: 0 r x3L/J.'( /.;z. 0(J ~e Feet. <br /> <br />3/ <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COItIIERCIAL : <br /> <br />Al'TAaI (2) PIDI' PL\IIS & (2) SEIS OF BUII.DIIIG PLiAIIS & (1) SEt EllERGY PORHS. u <br />ATI'AaI (3) SETS OF BUllDING PIAIiS & (1) SEt ErImKGY FORKS... <br />..OOPr OF OOR'I'BAGr KIlQUIRED. <br /> <br />PERKlTS REQUESTED <br /> <br />_BUILDIJlG <br /> <br />$ 31/.r-DfJ, DD <br /> <br />Va1ua~ion of Toml Coostruc~ion <br /> <br />_ELECTRICAL <br /> <br />;z 00 AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_--lfEalAllICAL <br /> <br />$ <br /> <br />1/ 8rO. 00 <br /> <br />Valua~ion of Kechanical Inst:alla~ion <br /> <br />_PLUKBDlG GAS ROOFDIG <br />TYPE OF OOJlSTKUCTIOJl: ~lock _Fraae _S~eel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FIRISHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PHOJEGr DI FLOOD ZOIlE AREA? <br /> <br />YES <br /> <br />NO <br /> <br />.......................................... <br /> <br />~O'UO <br /> <br />BUILDER <br /> <br /> <br />aHI'11L\CIOR SEC1'IOJl <br /> <br />m!lPAIiY R/4e- 6u//hs ..$Ac <br />S1:ate Cert. or/Regis~. f cAe 6Y/!T9:?r <br />City License Regist:ra~ion . ~ C 2 <br />.................... ........... <br /> <br />Signature <br /> <br />::::AN:Z~ /1 m!lPAJIY -:S. <br />-;?~ S1:ate Cer~. or Kegi: t. f <br />S -In\ /11 City License Registra~ion . <br />/ I ........ .............................. <br /> <br />m!lPAIiY ft C. ;:J{vn.-t bll" <br />S1:a~e Cer~. or Regist. f ' <br />City License Registration . d ? <br />.......................................... <br /> <br /> <br />./ ~.F ~ <br />~ <br /> <br />PUltBER <br />Signature(2/' ~ ~~ <br /> <br />tlEalANICAL <br />Signature 1/cJt ~ J. <br /> <br />m!lPAIIY ECtJA/o Ct7tJtiA/y f l/t'cl'N-;1' '-",d- <br />S1:a~e Cert. or Regist. .fYl9 oofuo 9..)'(J <br />City License Regis~ra~ion' /Ofo <br />.~...............*........................ <br /> <br />0T1IFJl~ <br /> <br /> <br />COlIPAIiY <br />State Cert. or Regist. f <br />City License Regis~ration . <br />......~................................ <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />4 {JAAIkT <br /> <br />PERIIIT OFFICER. <br />