Laserfiche WebLink
<br />APPLICATION I:'OR PQHIT <br />CITY OF ZEPIIYlUIILLS <br />BUlLDING DEPARTMENT <br /> <br />....... <br /> <br />OWNER'S IWIE \. }\('t){Y'\'i C).~~\l '(' C;; .\2) \\ I \AfY\~ PHON~18L-t.ddJ~ <br />OWNER'S ADDRESS '?J~l.o,q k~~A.~~~ /r-~~\II ~) ~ - ~9-I6 <br />5 f-\ (V'\ ~ <br /> <br />JOB ADDRESS <br /> <br /> <br />LEGAL DESCIUP'lION: LOT(S) I t./ <6 BLOCK SUBDIVISION L:: ~2.. <br /> <br />PARCEL LD.' ?5Y~E)-JI-lYJ5A.-~--It..f~ (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br /> <br />WORK PROPOSED:~ew Construction ~ddition ------Alteration ____epair _Install <br /> <br />_Sign <br /> <br />---"ove <br /> <br />----Peaolish <br /> <br />pmPOSED~E: ~s~eF_i~ <br /> <br />---"IF _' of Units ---"/B <br /> <br />_~ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />____estaurant & Health Departaent Approval <br /> <br /> <br />BUILDING SIZE: ~re Feet, ~ '-n Height Ck- ~br>>E.::irI'3iN~ <br /> <br />RESIDENTIAL: ArrACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COHMERCIAL: ArrACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />-LsUILDING <br /> <br />../ IU.RC11UCAL <br /> <br />-L.,mCllAllICAL <br />dPL~ING <br /> <br />PERMITS REOUESTED <br /> <br />$ 6;{)t"'J0 Valuation of Total Construction <br />'--0 <br />\;:) AMP Service A ~_ Florida Power Corp. W.R.E.C. <br />$. ZCb.ot> \D fY\~e- v~~oo1~~~i~l ~~~e>!. <br /> <br />GAS ROOFING SPECIALTY <br /> <br />TYPE OF alRSTRucnOR: -Block L~ _Steel Ju'1Y"'\\N~~cote?"<Sl'E:sv\ <br /> <br />FIIlISHED FLOOR ELEVAnORS:~. IS PROJEct IN FLOOD ZORE AREA? 1 <br />YES NO <br /> <br />.......................................... <br /> <br />CORTRActOR SEctION' <br /> <br />BUTlJlER COKPANY <br /> <br />~:Jb.} ~ State Cert. or Regist. . <br />Signature ' ~~ \ City License Registration . <br />) .......................................... <br /> <br />~ COHPARY Z--t-\,,-,,,, ~'--"c, - <;:V,-, <br />.. r '.. V State Cert. or Regist. . out), ^ Lt.. ~ <br />ur City License Registration' r D <br />. ........................................ <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />COMPANY ;I(;-/>l ~- -('.'.,", C~v I~,<,~f / <br />State Cert. or Regun. . 0'r'/ _co-tv u:<.. <br />/"L--,.-... City License Registration . 7 ( <br />.......................................... <br /> <br />Signature <br /> <br />~ <br /> <br />IlEClWUCAL <br /> <br />./ <br />,/.... <br />Signature&:/ ., <br /> <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLIc.\nOK APP1IOVIlD BY t< l~ 4- g, '1/^ PERllIT OPl'ICER. <br />