Laserfiche WebLink
<br />APPLICATION FOR PERHIT <br />CITY OF ZEPBYRIIILLS <br />BUlLDlRG DEPARTHERT <br /> <br /> <br />-'SBAHB~1V:uA~~/l-~:v:::~ ~::-~:~~~ <br />OWNER'S ADDBESS 6~1 Bill ~ WD I. '1 1o~7 <br />JOB ADDRESS Lcrr 27 e-Lj-:El-'k12 O\J:::S P./A3e 1) fdl3~c:; fAu~..?oCID J)RJ Vb <br />Z -; BLOCIL.::"-SUBDIVISION:).rLtk.eLJf\lS PHAs6 UN{:) <br /> <br />':'; ~L-- <br />,_.--l/ (.~ ,-'jJ <br />,0 J r~ '~'/u"\ , ;.j .""& <br />I ,/". 11 d 'd-' - <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 1:. D. # 03- L~ -:'-1 - 0 I 2.0 - nooOO ..- o:;J>:1 n (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ew Construction ---..Addition ---..Alteration --..Repair _Install <br /> <br />_Sign <br /> <br />--.JIove <br /> <br />--PeIIOlish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />~/(.( '- +-,;t Un~ --.JI/D <br /> <br />-----.~. . <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />--..Restaurant &: .Health Departaent Approval <br /> <br />DESCRIPTI.ON OF WORK,: ~ uAJ.L-r tfc-U-A c; <br />O1.kRALL j eK# uN 1'1 I bn.s-R- <br />BUlLDlRG Sl:ZE:3/IB XUn'fS, /!;Q c::1 Square Feet, 8 Heiaht <br />1& II1"ovfKfi~ <br />.\-RESIDERTIAL: ATrACH\(2) PLOT PLARS &:\.c2) SETS OF BUlLDlRG PLANS &:\'(1) SET DERGY FORKS. <br />COItKERCIAL ATtACH (3) SETS OF BUlLDlRG PLANS &: (1) SET ENERGY FOBHS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ HRCBAliICAL <br />,-.._- . <br />~UKBlRG <br /> <br />PERMITS REQUESTED <br />$ GS. CDO E:A. LJ~ iTValuation of Total Construction <br />( SL) AMP Service LFlOrida Power Corp. <br />$ Ii 1 (jD G.f>... i JJJ II Valuation of .tIecbanical Installation <br /> <br />., <br /> <br />~UlLDlRG <br />\ RJ.RCI'lUcAL <br /> <br />W.R.E.C. <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSDUcnOR: ~ Bloclt _Fraae _Steel <br /> <br />Other <br /> <br />.......................................... <br /> <br />YES <br /> <br />~ <br /> <br />FI.RlSBED FLOOR ELEVAnORS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />BIJTT.nm <br /> <br /> <br />CONTRACTOR SECTION' <br /> <br />--:? . / ... R -"lC- <br />OJ' ..t5f1\j If-CLW!{;,.'?- (,:'t.-..lY:!.~.-". , L)) c... <br />State Cert. 'or Regist. # (1 he n <.l- z:-:r, <:.) . <br />City License Registration , ;t..2R <br />................................... <br /> <br />Signature <br /> <br />RJ.RCTRICIAlI COMPANY SOt- 5 E / t!" Co- r ~ <br />.r:-7 _ 4 State Cert. or Regist. , ~/? ~ 2d ~.J"- <br />SilmAture //'&;.A"./'"7~(:;:I'. ~ City License Registration', 2 '7 :;- <br />~ . ....................................... . <br /> <br />PLUMBER ~ COMPANY 7/COlM1/);V v-~dut anvb;'J.p <br />/ ~ ./ ~~ ~ _' State Cert. or Regist. # OJF- ()O.? tb~ ~ / <br />Signatur ___ ~~T ~...Js1~~i.ty License Registration' /..s---S- <br />.......................................... <br /> <br />IlECllARI~/f ~ COMPANY · R . c.,. A I ~ (~ ~ L. <br />/ . r-7---. State Cert. or Regist.' CA~.l) 32. ? <br />S~tu. ~- ------- City Liceuse Reaistratioo' 1<;: I <br />.......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICAnOR APPROVED BY PERHIT OFFICER. <br />