Laserfiche WebLink
<br />APPLICAnON FOR PERHIT <br />CITY OF ZEPIIYRBILLs <br />BUILDING DEPAR'DIENT <br /> <br />~f;;;;,;~ -5=2 -7'5- <br /> <br />. '~ --7 <br />_'S IWII\ 1'f"~5 ~e.t <br />OWRER' S ADD1l:SS . "c;L 7 - /S~/ JI <br />JOB ADDRESS ~ & '- -.. <br /> <br />PHONErT73 -7,f"Z -5Jt3 <br /> <br />LEGAL DESCRIPTIOIi: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' <br /> <br />(OBTAIIi FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:-Hew Construction --..Addition ---..Alteration Repair .&Install <br />_Sign --Jove ---Peaolish <br />PROPOSED USE: _Siogle PaaUy ---.Jf./F _' of Units ---.Jf./H <br />-dLeo..ercial _Indust. _Swia. Pool _O~er <br /> <br />---..Restaurant Ii: Health Departaent Approval <br /> <br />DBSClIIPTXOJI OF -~/I ~~;Ge~ ;t://ce ~~ tf-M ~ <br /> <br />BUILDING SIZE: X Square Feet, Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLAIIS & (2) SETS OF BUILDING PLANS & (1) SET DERGY FORMS. <br />COItKERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET DERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOlJR.c;TED <br /> <br />---..BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />RI.RcrJlICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />__lEClWlICAL <br /> <br />$. <br /> <br />Valuation of Hecbanical Installation <br /> <br />--PLUHBIIIG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE 9P COEDUCTION: ---..Block _Fraae _Steel <br /> <br />Other <br /> <br />FIIIISBED PI.OOlt ELEVAnOIlS: <br /> <br />FT. <br /> <br />IS PBOJECT III FLOOD ZOIiE AREA? <br /> <br />********************-********************* <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />Blm.DRR <br /> <br />COHPANY <br />State Cert. or Regist. . <br />City License Registration , <br />****************************************** <br /> <br />.Signature <br /> <br />RJ~CTRICIO <br /> <br />COHPARY <br />State Cert. or Regist. . <br />City License Registration , <br />************************************-***-* <br /> <br />SiDnAture <br /> <br />PLUHBRR <br /> <br />COMPARY <br />State Cert. or Regist. . <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />IlECllARTCAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />OTRRR <br /> <br /> <br />COMPANY ~~.IL ~t~~ )KA..P;~~4 <br /> <br />State Cert. or"Regist. . <br />City License Registration' '7 y / <br />****************************************** <br /> <br />Signature <br /> <br />APPLICAnON APPJIOVED BY <br /> <br />PERHIT OFFICER. <br />