Laserfiche WebLink
<br />APPLICAnOB FOR PElllIT <br />CITY OF ZEPIIYIUIlLLS <br />BUILDING DBPAR'I'IIBI1T <br /> <br />JOB ADDRESS <br /> <br />111 crl /lEt.- <br />37S"'>B 6rt'{b <br />~ ;l'lLl Fa ,,-, <br /> <br />.p . r;;pJ!A//t: <br />5Cf U <br />Kr,d () R) <br /> <br />PROBE 7~~- 730& <br /> <br />. <br /> <br />2CPJlYA? /ftas . <br />.2F/NY,e~uo . <br /> <br />OWIIBR'S II.AtIE <br /> <br />OWI1EIl'S ADDRESS <br /> <br />LEGAL DESClUP'l'lOIl: LOT(S) <br /> <br />BLDClL.-.SUBD:tVISIOII <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIII PROM PImPRIlTY TAX IIOTICE) <br /> <br />WORK PROPOSED:--.J1ew Ccmstruction ----..Addition --..Alteration <br /> <br />Ilepair _lDatall <br /> <br />--1Jip <br /> <br />---IIove <br /> <br />~lish <br /> <br />. <br /> <br />PROPOSED USE: --1JiD&1e Faaily <br /> <br />---1I/F _, of Units ---1I/H <br /> <br />_ec-ercial <br /> <br />_IDduat. --1Jwia. Pool _Other <br /> <br />Restaurant &: Health Departaent Approval <br /> <br />DESCIUPTl:OB OF WOlUt: 7() ~JU d 6 <br /> <br />c)fJ 7tJ ufz>c <br /> <br />FtJ~ L"7- <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDEI1TIAL: ATTACH (2) PLOT PLAIIS &: (2) SETS OF BUlLDDlG PLAIIS & (1) SBT BIIERGY FORMS. <br />cottMERCIAL: ArrACH (3) SETS OF BUlLDDlG PLAIIS & (1) SBT DERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOIl ALL IIBW COIISTlWC'fiON. <br /> <br />PERMITS VRnllR.c;'I"RJ) <br /> <br />-BUILDING <br /> <br />$ J.o6() <br /> <br />Va1uatiOll of Total Construction <br /> <br />RJ.RCTIlICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. . <br /> <br />.-JIBCIWI:lCAL <br />--.J'L1IIBDIG <br /> <br />$. <br /> <br />Val.uatioo of llecbanica1 lDatallation <br /> <br />GAS <br /> <br />IlOOPDIG <br /> <br />SPBCIALTY <br />Other <br /> <br />TYPE OP 00EDUCn0ll: -Bloclt _pnae _Steel <br /> <br />PIIIISIIBD PJ.OOR ELBYAnOBS: <br /> <br />FT. <br /> <br />IS PBOJBC'I' DI FLOOD ZOIIE AREA' <br /> <br />YBS 110 <br /> <br />*******************.*****.**************** <br /> <br />RJ.R~Tr.r A. <br /> <br /> <br />COII'I'RAC'l'nR SRC'I'TOR <br />. . . CDlPAft L-.6'1f ~ <br />. ~ ~ m?~ State Cert. or JleaUt. . <br />cY 'I~' /' City License Ilegistration . <br />, *"**** *********************.***********. <br />rid b'Q,J <br />, <br />State Cert. or Beaiat. , <br />City Liceo.se Relistratioa . <br />***********...**..****.**.**..**.*****.*.* <br /> <br />LbuS7VJC7?M <br /> <br />BUTI.DRR <br /> <br />Signature <br /> <br />yV(Jt~ <br /> <br />COHPAft <br /> <br />E--L~c.ntJc. <br />..# '-I ,f <br /> <br />PI.DIRRR <br /> <br />OOIIPAIIY <br />State Cert. or Reaist. . <br />City Lic:eD8e Begistration , <br />****************************************** <br /> <br />Signature <br /> <br />IlECllAllICAL <br /> <br />Signature <br /> <br />COIIPANY <br />State Cert. or Begist. . <br />City License Registration . <br />*****************************.************ <br /> <br />O'I'IIRR <br /> <br />COIIPAIIY <br />State Cert. or Relist. . <br />City Lic... Reaistratioa. . <br />*************.***********************.***. <br /> <br />Sigoature <br /> <br />APPL:tCAfiOJl APPJtOVED BY <br /> <br />PEJUaT OPnCER. <br /> <br />.......... <br /> <br />"-~ <br />