Laserfiche WebLink
<br />.. .._._""~--~ !r~lIEJ'-""--'''''""""~_'~"",~~,__...rt'''ll'!'_~''',:",,,,, <br /> <br />APPLICAnON FOR PERIIIT <br />CITY OF ZEPBYRIIILLS <br />BUILDING DBPARTHERT <br /> <br />OWNER'S IWm .5/1/e~v J}/;4l2JlJlFI?..<VJ"v ~R . <br />OWNER'S ADDDSS 37(~cj5f a/l /)0 7Mt!& <br />JOB ADDRESS 5A/7J e- <br /> <br />PHONE <br /> <br />'- <br /> <br />LEGAL DESCRIPTIOII: LOT(S) <br /> <br />B~SUBDIVISION cqf?/-I,V/C '.~b;i6- <br /> <br />PAaCEL LD.' 3-d/, c::;') -/')/3{/ -bDon /'") - o59/J <br /> <br />(OBTAIII FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction ---..Mdition ---J\lteration <br /> <br />Repair _Install <br /> <br />_Sign <br /> <br />--.-JIove <br /> <br />~lish <br /> <br />PROPOSED WE: _S~e F_i~ <br /> <br />----.Jt/F _' of Units ----.Jt/H <br /> <br />_ec:-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />Restaurant & Health Departaent Approval <br />DBSClUPTIOB OF W01l1I./JhjflJRUP ,,6:J.ff:;.fb 11. '0 RI!.L(!f/) "1/ I' ~aet ,I .~N ,i'LVR! ""-.5/))6J/4/ 16 <br />BUILDING SIZE: X Square Feet, Height <br /> <br />RlmIDEI1TIAL: <br />COMMERCIAL : <br /> <br />ATTAaI (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET DERGY FORMS. <br />ATTAaI (3) SETS OF BUILDING PLANS & (1) SET DERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW COIISTRUCTION. <br /> <br />~LDING <br /> <br />PERMITS REQUESTED <br /> <br />$ 02~ .CJO <br /> <br />Valuation of Total Construction <br /> <br />RT.RcnuCAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-"ECIWIlCAL <br /> <br />$ <br /> <br />Valuation of llechanica1 Installation <br /> <br />.-PLtIIBIIIG GAS ROOPIRG <br />TYPE QF COIiSTRUC'l'ION: _Bloclt _Fraae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FDIISIIED FLOOJl ELEVAfiOIlS: <br /> <br />PT. <br /> <br />IS PROJECT IN FLOOD ZOO AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BIJTT.DRR <br /> <br />COIITRACTOR SECTION <br /> <br />.d a>>IPAllY7flll ~Mo/~()1'Wr lAiC-- <br />~ . State Cert. or Regist. . . <br />tMY/ tt?d1.P./ City License Registration' ~L/ <br />.............*............................ <br /> <br />Signature <br /> <br />RT.RCTRTCIAR <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.................................*..*..... <br /> <br />Sianature <br /> <br />PLUMBER <br /> <br />COMPABY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />KECIIAlIICAL <br /> <br />COHPABY <br />State Cert. or Regist. . <br />City License Registration f <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />.......................................... <br /> <br />Signature <br /> <br />APPLICAnON APPROVED BY <br /> <br />PERIIIT OFFICER. <br />