Laserfiche WebLink
<br />APPLICATION FOR PERHIT <br />CITY OF ZE~IYRlIl.LLS <br />BUILDING DEPARTKENT <br /> <br />OWN~R' S lWtE_(Y\ l C H A 8 L- <br />OWNER' S .ADDRESS '3 75 Z g <br />JOB ADDRESS " 2 Z 0 Fe) f2:-T <br /> <br />P- COl2J2.EIA PHONE 798-7'~08 <br />5..f2-..54-W~ 2~PH/~-f/LL~ F-L- '335+1 <br />) <br />jLLrJ& (ZOAD <br /> <br />LEGAL DESClUPI'ION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' 03 2& 2( C)ooo 00,",00 001 C> <br /> <br />WORK PROPOSEO:_New Construction _Addition _Alteration ----..Repair _Install <br />~gn _Hove _De.ol.ish <br /> <br />PROl)OSED USE: Single Fa.i.ly <br />Leo..ercial <br /> <br />_H/F _' o.f Units <br /> <br />_Hill <br /> <br />_Indust. . _Swia. Pool <br /> <br />Other <br /> <br />_Restaurant. &. Health Departaent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: AITACH (2) PLOT PI.A.NS &. (2) SlITS OF BUILDING PLANS &. (1) SET ENERGY FORMS. <br />GOtVIERCIAL: ATrACII (3) SETS OF BUILDING PLANS &. (1) SET ENERGY Fo.RKS. <br />PROPERTY SURVEY REQU.lRED FOR ALL NEW CONSTRUCIION. <br /> <br />PERMITS REOUESTED <br /> <br />----..BUILDING <br /> <br />$_\ '200.. 00 <br /> <br />Val.uation o.f Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECHARlCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation' <br /> <br />_PLUHBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUcnON: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PROJECI IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />tttttt_ttttttttttttttttttttttttttttttttttt <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COftPABI' <br />State Cert. or Regist. , <br />City License Registration , <br />tttttttttttttttttt_tttttttttt__ttttttttttt <br /> <br />Signature <br /> <br />F.I.F.GTR1CI.AN <br /> <br />COKPAliY <br />State Cert. or Regist. , <br />City License Registration , <br />tttttttttttttttttttttttttttttttttttttttttt <br /> <br />Sill'nature <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />tttttttttttttttttttttttttttttttttttttttttt <br /> <br />Signature <br /> <br />KECIIANlCAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />tttttt.tt.t.t..tt.tt*ttt**ttttttt..**tt.__ <br /> <br />Signature <br /> <br />'. <br /> <br />('\ ,'(L"~' /-~/r~, ~ COUPAlii' Af'Pt.E- 5lbtJ ~ AWN'ING-.ll\}CI <br />Cl~,J J/j /j Stat.e Cert:. :or Regist. , ' <br />T: ~2 . e; City License Registration , 7 17 <br />tt****-******************.**t*t**t******** <br /> <br />OTIlY.R. <br /> <br />Signat.ure <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKlT OFFICER. <br />