Laserfiche WebLink
<br />APPLICAnON FOR PERKIT <br />CITY OF ZEPIIYRBILLS <br />BUILDING DEPAR'l'KENT <br /> <br />5:M~r ;11/ ~UI ~0 <br /> <br />OWNER. IS NAME <br /> <br />~,4-.eJ' 1)/2-/1/-( <br /> <br />OWRER I S ADDRESS <br /> <br />~ot ~.>T/C <br />"'5 S; H-1 WI .u' <br /> <br /> <br /> _Sign ----1Iove ->>eaolish <br />PROPOSED USE: 'x-Single Faaily ---1t/F -J-f of Units ---1t/H <br /> _ec-ercial _Indust. ~SWia. Pool _Other <br /> <br />-Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: 40 X bC/ ~ ~ 0;01' ~uare Feet, <br /> <br />Height <br /> <br />RESIDEHTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET EBERGY FORMS, <br />ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL HEW CONSTRUCTION. <br /> <br />~UILDING <br /> <br />~ RT.RCTRI.CAL <br />~ <br />---lIECIIAlIICAL <br /> <br />----I'L~IBG <br /> <br />f~ tllltJ <br /> <br />$ <br /> <br />PERMITS REQUESTED <br /> <br />Valuation of Tota1 Construction <br /> <br />dtfJO AIIP Service Florida Power Corp. <br />- ~ ., r-"tJ. r:::- <br />eX ~ v Valuation of Kechanica1 Installation <br /> <br />$ <br /> <br />W,R.E.C. <br /> <br />GAS <br /> <br />SPECIALTY <br /> <br />~ ROOFING <br /> <br />TYPE OF CONSmUC'llON: -X-Bloclt _Fraae _Steel <br /> <br />FDlISBED FI..OOR ELEVAnONS: ID2. Fr. <br /> <br />Other <br /> <br />IS PROJECT IN FLOOD ZONE AREA? A- <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION' , / <br /> <br />COMPANY MII-aif #n-/lL-I S <br />State Cert. or Regist. f CGC <br />City License Registration f <br />****************************************** <br /> <br />COMPANY S ~//~ / 0 ~ e- <br />State Cert. or Regist. f c- k.. 0 () 0 03>7 5' <br />City License Registration f z.r;. ~ <br />****************************~*~********** <br /> <br />COMPANY #a..1 /U~ ~~r' <br />/ .J -' I _ State Cert. or Regist. f <br />.J'\.. ~'City License Registration f IS'S- <br />****************************************** <br /> <br />COKPANY Sit ~pa"-/ E4c-ktG <br />State Cert. or Regist. f ()M~()'-\IcJ7 tJ <br />City License Registration' /1/ <br />****************************************** <br /> <br />RUTT.DER. <br /> <br /> <br />. <br /> <br />PLUMBER <br />Signature ~ <br /> <br />Signature <br /> <br /> <br />OTRRR M <br /> <br />Signat~ <br /> <br />~$7l'Jd <br />tJ/69/}' <br />#~/ <br /> <br />lnlPAIIY g~ "11"''' /tr~ <br />State Cert. or Regist. 'Co\WP.:> <br />City License Registration . ~~ <br />**************************************** <br /> <br />APPLICAnON APPROVED BY <br /> <br />PERMIT OFFICER, <br /> <br />'~ <br />v <br />