Laserfiche WebLink
<br />APPLICATION FOR. PERKIT <br />CITY OF ZEPIIYRIIILL'i <br />BUILDING DEPAR'l'HERT <br /> <br />OWNER'S IWIE To hi/I; ~ :s/-€ If/{ ~ SR;f-/~&/ PHONE 7 <J ~- / b 2? <br /> <br />~ <br /> <br />OWER'S ADDUSS ,3 9;' 3~ ( ()OUYl/f.-,Y 62() c;f fl/-,Sr <br />JOB ADDRESS c ~te <br /> <br />LEGAL DESCIlI.P'fiON: LOT(S) <br /> <br />BIDClL--SUBDIVlSION <br /> <br />PARCEL LD.' <br /> <br />(OBTAIN FROM. PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew CoIIstruction .--.Addition ----.A1teration ~pair f::tn;tall <br /> _Sign ----.JIove ->>eaolish <br />PROPOSED USE: ~ing1e Fsaily ---1t/F _' of Units ---...Jf/B <br /> Leo-ercial _lDdust. _Swia. Pool _Other <br /> <br />BUILDING SIZE: <br /> <br /> <br />lA' Otl~. ~ <br /> <br />DESCIlI.P'fiON OF WORK: <br /> <br />RESIDEIiTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />COMMERCIAL: AftACII (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQ1JIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />RT.RCTlUCAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.R.C. <br /> <br />~awnCAL <br /> <br />$ 2 g So. d-t) <br /> <br />Valuation of Kecbanical Installation <br /> <br />-..PLUIIBDlG GAS ROOFDlG <br />TYPE OF CONSTRUCTION: ----oBloclt ----Yraae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />PDIISIIED :FLOOK ELEVATIOI1S: <br /> <br />n. <br /> <br />IS PROJEct IN FLOOD ZONE A1lEAT <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CORTRACTOR SECTION <br /> <br />COIIPAI1Y <br />State Cert. or Regist. . <br />Ci1:y License Registration . <br />.......................................... <br /> <br />R(ITT.DER <br /> <br />Signature <br /> <br />SionAture <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />RT.RCTRTCIAII <br /> <br />COIIPABY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />IIECIWII~ 2 OOIIPABY SQl,2J.r oS <br /> <br />.. --- -, State Cert. or Regist. . <br />Signature ' ~ ~1A-1''-~ City License Registration f <br />.......................................... <br /> <br /> <br /> <br />.., <br />4--I-"\C <br /> <br />COMPABY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />OTRRR <br /> <br />Signature <br /> <br />APPLI~noR ~~ ~~.~~ <br /> <br /> <br />\. _' ........J.....'....+-... ..~.....,..".,._ -' l 1'."........ !, <br /> <br />PERHIT OFFICER. <br />