Laserfiche WebLink
<br />APPLICATION FOR PERKIT <br />CITY OF ZEPIIYRIIILLS <br />BUILDING DEPARl'HENT <br /> <br />1JR( ffi:fG" <br /> <br />o V' . . '-9~' <br />/,,<~D ' <br />~) <br /> <br />OWNER'S NAHE f3 Ai vd i fl c, e.. ~ v\ I L Dc? ~< <br />v - <br /> <br />OWNER'S ADDRESS /Cj t:,5/ I3R0ce 8 ~ <br />S\elJel4~ p 1\lh <br /> <br />LEGAL DESClUPlION: LOT(S) ':;b BI.OCIL--SUBDIVISION S/Luel? o~K5; <br /> <br />PARCEL I.D.I 3-:2~-;;:';I - 0/6 (J - Ct:X:XjO--C6bo (OBTAIN FROM PROPERTY T.u NOTICE) <br /> <br />WORK PROPOSED:0ew Construction ----...Addition --...Alteration ----.:Repair _Install. <br /> <br />PHONE <br /> <br />qq l -'')3bb <br /> <br />JOB ADDRESS <br /> <br />b~t1.3 <br /> <br />f.?LvLJ <br /> <br />--- ' <br />Lc ( S:~) <br /> <br />_Sign <br /> <br />----Kove <br /> <br />--Peaolish <br /> <br />PROPOSED USE: Y Single Faaily <br /> <br />----KIF _' of Units ----"'/H <br /> <br />_ec-ercial <br /> <br />. <br />_Indust. _Swia. Pool _Other <br /> <br />----.:Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF NORK: /JLoeJ:- <br /> <br />05N:1f1? (.., clio ;../ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PI..ANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />-BUILDING <br /> <br />$ ?QeJO 0 <br />. <br /> <br />Valuation of Total Construction <br /> <br />"' <br /> <br />RT.RCTRICAL <br /> <br />dOO <br /> <br />AIIP Service <br /> <br />X Florida Power Corp. <br /> <br />N.R.E.C. <br /> <br />----1IECllAllI.CAL <br />---YLUKBING <br /> <br />$ ~:2(?<.? <br />GAS <br /> <br />Valuation of tlechan.ical Installation <br /> <br />~' <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~lock _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAITOliS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION' <br /> <br />BJ/J1J>E11 OOllPNn IS 'If q"V};,EYQ, ~ <br />-;:;!/ .J!~ <::..-1~~ ,f/. State Cer . or R~~t1t. , (~-::> .;;J>?,U <br />Signature~4 fA: -~ City License Registration , ~ ~~ <br />. ...................................... <br /> <br />RT.RCTRJ;CL\li/~/ COMPANY .5' pL 5' ~/ r""~ .f'/Z;L- <br />. rJ2 . //' /J ~ State Cert. or Regist. f F~ ~ .:zo '7 $' ,.-- <br />SiQflJltur~~tA" V~.A'_ . City License Registration"' .2 cy~- <br />.......................................... , <br /> <br />PLUMBER COMPANY /l/JrJ1llJAJ f-7A ~~~ <br />/.///J 4/ / State Cert. or Regist. I "POt) ~/I <br />Signature L/t/{/~~ City License Registration' / t.~ij <br />.................~........................ <br /> <br />HEawuCAL ~. OOllPNn . I!. e ,4 Ie <br />, ~ State Cert. or Regist. , <br />Sianature ~ ~-,-W ~ City Liceose Ilegistration . <br />......... ................................ <br /> <br />c.1- <br />/ 'I <br /> <br />OTHRR COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICAnON APPROVED BY PERKIT OFFICER. <br />