|
<br />F'~ ~'- ..'~
<br />1J~.'~'.'""';~
<br />.... -~/ - ,,;'
<br />,/
<br />1- I. ...-1/
<br />
<br />_Sign
<br />
<br />
<br />PROPOSED USE: ~iogle Faaily
<br />
<br />^ ....,r'/i.)
<br />/ J I~P--+
<br />
<br />rlL-{CI<
<br />I
<br />,
<br />
<br />('~'j
<br />,~ '7 ."-
<br />"--
<br />
<br />v~' ~:rJ;i;5/7{/'
<br />~ I ( pt
<br />
<br />l
<br />
<br />
<br />-7 ~3-(O-S7
<br />
<br />PLICAnON FOR PERIIIT
<br />[TY OF ZEPIIYRHILLS
<br />rJILDIBG DEPARTMEBT
<br />
<br />(Z
<br />
<br />~
<br />
<br />~ \ N G L.....E:...
<br />t2+~ ~t-
<br />
<br />~... 't Q. 4 , 1...(", ~ ~~-1-0
<br />
<br />PHONE
<br />
<br />E-
<br />S 2-fH~~4\""'c...S OO~NJ
<br />BLOCK .... SUBDIVISION c.o t"p'A "" Y LA No t::>.s 1
<br />)0500 002."2- (OBTAIN FROM PROPERTY TAX NOTICE)
<br />~ddition -...Alteration -.Jlepair XInstall
<br />
<br />--.JIove
<br />
<br />-Deaolish
<br />
<br />-----.Jt/F _, of Units -----.Jt/H
<br />
<br />_ec:-ercial
<br />
<br />_Indust. _Swia. Pool _Other
<br />
<br />_Restaurant & Health Departaent Approval
<br />
<br />DESCRIPTION OF WORK: Co N ~ I JC r J'3 X ~6 CO t-.,)C. ~OD c.... -J. .Dec:.~
<br />
<br />BUILDDlG SIZE: X Square Feet, Height g-4':~ tlf~
<br />
<br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & ~) SET GY FORMS.
<br />COMMERCIAL: ATTACH (3) SETS OF BUILDIBG PLANS & (1) SET ENERGY FORMS.
<br />PROPERTY SURVEY REQUIRED FOR AU. NEW CONSTRUCTION.
<br />
<br />~UILDIBG
<br />
<br />RT.KCTRICAL
<br />
<br />---1IECllAllICAL
<br />~UHBIBG
<br />
<br />PERKITS REQUESTED
<br />
<br />$ f/ t r. Of)
<br />
<br />Valuation of Total Construction
<br />
<br />AIIP Service
<br />
<br />Florida Power Corp.
<br />
<br />W.R.E.C.
<br />
<br />$
<br />
<br />Valuation of lIechanica1 Installation
<br />
<br />GAS
<br />
<br />ROOFING
<br />
<br />SPECIALTY
<br />
<br />TYPE OF COIISTRucnOIJ: ______lock _Fraae _Steel
<br />
<br />Other
<br />
<br />FIllISBED FI.OOIl ELEVAnOIlS:
<br />
<br />
<br />RIJTT.DRR
<br />
<br />Signature Y
<br />
<br />PLUMBER ~
<br />Signature
<br />
<br />
<br />Signature
<br />
<br />Fr.
<br />
<br />IS PROJECT IB FLOOD ZONE AREA!
<br />
<br />YES NO
<br />
<br />..........................................
<br />
<br />CO~~RSEcrroN ~
<br />
<br />mHPAIIY P~T I C) lOo~s
<br />State Cert. or Regist. , c::..pc.. e, ~ S:8'G
<br />ity License Registration , ~7
<br />................... ..................... ; .. ;tkC
<br />I . "!'. l" )
<br />;f1t'1 .'..... .' ,
<br />COMPANY HA {( {('"V' ~ i:./t~(k'( c.:11 . v.;'.,/-: /}<; / "J./, :i" I
<br />State Cert. or Regist.' ;=/'")(' '-;~ ~~ (/
<br />City License Registration , __ ___
<br />........................................
<br />
<br />COMPANY t1..,.., 0 ~c 0 ,~- S
<br />State Cert. or Regist. ,
<br />City License Registration' ..2'1
<br />..........................................
<br />
<br />
<br />COMPANY
<br />State Cert. or Regist. ,
<br />City License Registration .
<br />..........................................
<br />
<br />OTRRR COMPANY
<br />State Cert. or Regist. ,
<br />Signature City License Registration ,
<br />r-"~:"'''::~'~.-;''~~''*f...~;'..............................
<br />
<br />APPLICAnON 4~vD,"BY~~:~:;~ rtr;; J PERKIT OFFICER.
<br />r (~.' '- ~'('~"r;':j , 1.' ".. ;
<br />l'~w-'..."tt-...~;.~-.","f!..,",,,,,,-,,,,,- ~;.,~....~. .' ,,:<;,,,,.t-',.-' '~""\,
<br />
|