Laserfiche WebLink
<br />APPLICAnON FOR PERKIT <br />CITY OF ZEPIIYRHILLs <br />BUILDING DEPARTHENT <br /> <br />_'S_ ~~ <br />OWNER' S ADDRESS :J <br />JOB ADDRESS -r;{? ,)'8'" V ~~___ (~~A! <br /> <br />PHONE ( I J - I '66- J(l S if <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D.# <br /> <br />BLOCIL--..SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:-'lew Construction. -Jddition. --Alteration -Jlepair _Install <br /> <br />_Sign <br /> <br />-.JIove <br /> <br />->>eaolish <br /> <br />PROPOSED USE: _Single F_ily <br /> <br />--.J4/F _, of Units --.J4/H <br /> <br />_ec-ercial <br /> <br />_lDdust. _Swia. Pool _Other <br /> <br />--.-.Restaurant & Health Departaent Approval <br /> <br />DESCRIPTIOII OF WORK: <br /> <br />BUlLDIMG SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDEIITIAL: <br />cottHERCIAL : <br /> <br />ATTAaI (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />ATTAaI (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW COIISTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />.-BUILDING <br /> <br />$ <br /> <br />~tPOc/ <br /> <br />AIIP Service <br /> <br />Valuation. of Total Construction <br /> <br />_ELEcrJUCAL <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--llECBAUCAL <br /> <br />$ <br /> <br />Valuation of Kechanica1 Installation <br /> <br />_PLUKBDiG <br /> <br />GAS <br /> <br />ROOFIliG <br /> <br />SPECIALTY <br /> <br />TYPE 9F COIISTRUcnOR: -Block _Fraae _Steel <br /> <br />Other <br /> <br />FIllISHBD :noc:m ELEVAnORS: <br /> <br />FT. <br /> <br />IS PROJEct Di FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br />RIJTT.DRR c.;; fJ1 ,1. COKPANY . <br />a~ J~ State Cut:. or Regist:. . <br />Signature. 2. ~ City License Registration. , <br />... ................................... <br /> <br />RT.RCTRICIAIl <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Si....ature <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />IlECRANTCAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration. , <br />.......................................... <br /> <br />Signature <br /> <br />APPUCArIOlI APPJIOVBD BY '1/"'1 m thO 1 <br /> <br />PERKIT OFFICER. <br />