Laserfiche WebLink
<br />..-.._',.....y~.~~..',.---._--". < <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPIIYRBILIS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S twIB Q U <;'S.6 LL. yv\. ~120lLJ I'-~ PHONE r; e80 '/ '3'2,((- <br />OWNER'S ADDRESS ?)736' 1Ll/,/ CcELI4 La u RT 2' \:t ILLS r:-C:S:s>scf-- \ <br />JOB ADDRESS 4-11 q s ll-vt=:R Clf2.CL<.:: 'LEPI-r-/RI41LL~ ;:~L ~<~4 ( <br />LEGAL DESCRI.PTION: LOT(S) BLOCK SUBDIVISION Cf-Iv+/-. (=01"-1 V1U i4, <br />PARCEL LD.' REwa 0 P.L~T 12cD1, ~ I PI4 G:.t: 70 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED: l/'Hew Construction --..Addition ---..Alteration --Jepair _Install <br /> <br />_Sign <br /> <br />---1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: \/'Siogle Faaily <br /> <br />---1I/F _, of Units _M/H <br /> <br />_~ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />--Jestaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: 2 q X 4-3{.,'J 12ft, Square Feet, <br /> <br />I <br /> <br />8 Height <br /> <br />RESIDEHTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMKERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />LaUILDlBG <br /> <br />t/' RJ,RCTRICAL <br /> <br />~ClWlICAL <br />-1LPL~~G <br /> <br />Valuation of Total Construction <br /> <br />AHP Service <br /> <br />t../ Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE 9F OOIiSTRUC'l'ION: -1.LBloclt _Fraae _Steel <br /> <br />Other <br /> <br />FIlJISBED FLOOR ELEVATIOIiS: -(, F'1'. <br /> <br />****************************************** <br /> <br />IS PROJECT IN FLOOD ZONE AREA? d' <br />YES NO <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY q ()..s .SE LL rV\, ~ 1?Cl\.J ,,\ <br />~ / J M (';') State Cert. or Regist. , C iT {' n 3. l {-. \ \ <br />'t1t~~1V\.. " {.'J..,? ~~ City License Registration' (2- '-f-"s <br />****************************************** <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />F.T.RCTRICIAII COMPANY 1< US<::>(~LL lilt. ~12olu J'-~ <br />-:- YJ 'L 1'\1 (j) State Cert. or Regist. . En co 1056 I <br />Si""'~ e. .I"!t~'" l..!..L....P~'-"-. City Liceose Registrstion . I b ~ <br />****************************************** <br /> <br />COMPANY 9 USSE: LL Wt. ~l2otv/~ <br />(';) State Cert. or Regist. . crco '1,qqq (, <br />M. ~')O\.-.~ City License Registration' I'O'} <br />****************************************** <br /> <br />COMPANY c;:<() $$(=-1_(_ t11. ~Glot-v I\.J <br />G) State Cert. or Regist. f c_1'\ Co L{-I '2.';(.(- <br />YV\. J':> ~CJ\AA.-. City License Registration f II <br />****************************************** <br /> <br />Signature <br /> <br />CJi.~~ <br /> <br />KECIIAllXCAL <br /> <br />QuJl,klA <br /> <br />Signature <br /> <br />OTRF.R <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />APPLICAnOR APPIlOVED BY !/ 0 ~ mc-v-~ <br /> <br />PERMIT OFFICER. <br />