Laserfiche WebLink
<br />APPLICATION FOR PERKIT <br />CITY OF ZEPIIYRBILLS <br />BUILDING DEPARTKENT <br /> <br />JOB ADDRESS <br /> <br />;-f .J~AJ ftJ& ~ Is <br />?? ?;{ A l:""- s c;; t4- <br />. <br /> <br />.5' I</?vt s? <br /> <br />PHONE 7,g.;? - ? I .? C} <br /> <br />OWNER' S NAHB <br /> <br />OWNER' S ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />B~SUBDIVISION <br />(OBTAIN FROM. PROPERTY TAX NOTICE) <br /> <br />PARCEL LD.' <br /> <br />WORK PROPOSED:-----Rew Construction ---^ddition ~teration ~pair ._Install <br /> <br />_Sign <br /> <br />---lfove <br /> <br />---->>eaolish <br /> <br />PROPOSED USE: ~ingle Faaily <br /> <br />--1.4/F _' of Units --1.4/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />---Restaurant Ii: Health Departaent Approval <br />DBSCll1PT1OR OP 1llIIllC: ~ (cnu 41 C- <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDERTIAL: <br />COttHERCIAL : <br /> <br />ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />ArlACII (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FOlUlS. <br />PROPERTY SURVEY llEQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />RT.RCTlUCAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />..--JIECllAllICAL <br /> <br />$ <br /> <br />Valuation of Kecbanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUcnON: .-Jloclt _Fraae _Steel <br /> <br />Other <br /> <br />FIIUSBBD FLOOR BLEVAnORS: <br /> <br />FT. <br /> <br />IS PROJEC'l IN FLOOD ZONE AREA., <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRAC'lOR SEC'lION <br /> <br />COHPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />RIJTI.DER <br /> <br />Signature <br /> <br />~ ~~' CotIPANY "F'/~ <;; ( (1 /.A s ~ 1:.. Ie c'i:J ; c:: <br />~. ~ I State Cert. or Regist.'. C)oll S 1..2. <br />_ "" "" ur ' " ,!1'"' / City License Registration' ,( <;""'7 <br />. -" ".......................................... <br /> <br />PLUMBER COKPAHY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />.............................~.....*..*.** <br /> <br />JlKCllAllICAL COIIPAIIY 1.(;; A/~ c" -- c/,J <br />State Cert. or Re st.' 0<::> s-r ('.:z. <br />Signature City License Registration . 7 __ <br />.......................................... <br /> <br />OTRRR COKPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br /> <br />APPLICAnON APPROVED BY PERKIT OFFICER. <br />