Laserfiche WebLink
<br />~ <br /> <br />APPLICATION FOR PERHIT <br />CITY OF ZEPIlYlUIILLS <br />BUILDING DEPARTMENT <br /> <br />OIIIIER · s IWII\ 8fJ J uti ~ r- (J,iA I LI1f!.'f!S PBOIIE <br />OWNER' S ADDRESS ) 1"1 b so ,g {;:, [Il C e . (J m{AJ /'./ S <br />. <br /> <br />JOB ADDRESS Jot ~ I 6 7516 .LiL;~~'~~ <br /> <br />LEGAL DESCRIPTION: LOT(S) 3 J <br /> <br />S~I/~ ):;&b <br />'Ri (/ [) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />'01 L r/C't:. <br /> <br />()A I<S <br /> <br />PARCEL LD.' ;1- 210-;) I -. ()/ 6()~ 06QJJ -0-:)10 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PRoposED:bew Construction --.Addition --.Alteration --.Jtepair _Install <br /> <br />_Sign <br /> <br />--1Iove <br /> <br />->>eaolish <br /> <br />PROPOSED USE: X Single Faaily <br /> <br />--"'IF _, of Units --"'/B <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />--.Jtestaurant Ii: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: S//II'qLe <br /></ <br /> <br />F.4/YJJ~t/ <br /> <br />.R~; <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />. <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />, ~UILDING <br /> <br />$ &~c.?OO <br /> <br />Valuation of Total Construction <br /> <br />" <br /> <br />RI.RC'l'RICAL <br /> <br />/5'0 ..../ <br />~.) AKP Service ^ Florida Power Corp. <br />$ 36' () 6 Valuation of lIechanica1 Installation <br />/ <br /> <br />W,R.E,C. <br /> <br />---1IECIIAIflCAL <br /> <br />--PLUKBING GAS <br />TYPE OF CORSTRUcnON: .LJsloclt <br /> <br />st., tJq&ROOFING <br />V' <br /> <br />SPECIALTY <br /> <br />_Fraae _Steel <br /> <br />Other <br /> <br />FIRISBED FLOOR ELEVAUORS: <br /> <br />Fl. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? -X. <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION" <br /> <br />RUnnER. ---iJ fI -./;. ~ =~~~r ~~ ~AAl~~~PC/ <br /> <br />Signature !'vOY>>J..l CA- City License Registration' 62- tif?'" <br />~... .................................. ~ <br /> <br />RI.RCTRICIAR COMPANY ~ r/ '5" &/ ~,~ $-" c <br />~ !/J/?~ State Cert. or Regist. f e/{ (/'OT:1 20~~- <br />SilmAture ~ tA' ~_ ' City License Registration " Z 0/ ..f- <br />.......................................... . <br /> <br />PLUMBER COMPANY ~ <br />I AI 1 f I' State Cert. or Regist. <br />Signature pi/'.f/ ./~~ City License Registration' <br /> <br />MECHANICAL ~~.................::...i!(~..ili c <br /> <br />/J On j) "" State Cert. or Regist. ~~~, :?;.,J..'ft.l:-7 <br />Signature -R AL--- '-/Z-I:4" License Registration' J C"' I <br />.......................................... <br /> <br /> <br />OTRRR COMPANY <br />State Cert. or Regist, . <br />Signature City Liceose Registration . <br />.......................................... <br /> <br />APPLICAnON APPROVED BY PERHIT OFFICER. <br />