Laserfiche WebLink
<br />.,.......",. ..; <br /> <br />APPLICATION FOR PERKIT <br />CI IT OF ZEPlIYRlllLLS <br />BUILDING DEPARTKKNT <br /> <br />OWNER · S ADDRESS_i~ ~v i <br /> <br />M 0.. 'i S mORE <br />lRl \ ~ uS, ,"",lOr Ltl <br />1ST Zf Phy",h(\\ S <br />BLOCK / () SUBDIVISION <br />. <br /> <br />~cLS-te"r hoc)k-1 <br />- <br /> <br />f\JI <br />\-\~~ <br /> <br />9yr ?:SyS <br />Lot \~ -5 L.- T"Z <br />33-><-;( <br /> <br />OWNER'S lWtE_KlQ.."~\6~ <br /> <br />JOB ADDRESS <br /> <br />r;~4o <br /> <br />LEGAL DESGlUPrION: WT(S) <br />PARCEL 1.D.' ZfQ~~~~ \\ S <br /> <br />~a~~ <br /> <br />~~y <br /> <br />WORK PROPOSED:_Nev Const.ruction _Addit.ion _Alt.erat.ion ---.Jlepair _Inst.all <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_D~lish <br /> <br />PROPOSED USE: <br /> <br />Single F-.ily <br />-Leo.aercial <br /> <br />_"'F <br /> <br />_, of Unit.s <br /> <br />_H/H <br /> <br />_Indust. <br /> <br />_Sill i.. Pool <br /> <br />Other <br /> <br />_Rest.aurant 5: Health DepartJIent. Approval <br /> <br />BUIWING SIZE: ;Z (:) X Lf 6. <br /> <br />100 <br /> <br />Square Feet.. <br /> <br />0---- <br />12. Height. <br /> <br />RESIDENTIAL: <br />CotIlfERCIAL : <br /> <br />ATI'AGH (2) PLOT PLMS 5: (2) SETS OF BUII.DING PLANS 5: (1) SET ENERGY FORMS. <br />A'n'AGH (3) SETS OF BUILDING PLANS 5: (1) SET ENERGY FORtIS. <br />PROPERrY SURVEY Rlr.QUIRlID FOR ALL NEW CONSTRUcrION. <br /> <br />PERKITS RROUESTED <br /> <br />_BUlWING <br /> <br />$ /,;z L?CJ o~ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />.AlIP Service <br /> <br />Florida Pover Corp. <br /> <br />W.R.R.C. <br /> <br />_HEGIJAIIIlCAL <br /> <br />$ <br /> <br />Valuation of HeChanical Installation <br /> <br />_PLlJfIBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCl'ION: -A-B1ock. _Fr-.e _St.eel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PROJEcr IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />...........***..*****...*..*.*..*......*.* <br /> <br />CONTRACIOR SECIION <br /> <br />BUIWER <br /> <br />COflPANY <br />State Ceet.. or Regist.. , <br />City License Registration , <br />.........**.**........*..*.*.........*.... <br /> <br />Signat.ure <br /> <br />ELECIR.lCIAN <br /> <br />COKPARY <br />Stat.e Cert. or Regist. , <br />City License Registration' <br />**.*.**..*.**.*******.**.*..**.*.*.*.**.** <br /> <br />SilUJature <br /> <br />PLUHBER <br /> <br />COHPAPiY <br />Stat.e Cert. or Regist. , <br />City License Regist.ration , <br />******.**.***.****.*.*..*.*..*.*..*.**.*.. <br /> <br />Signat.ure <br /> <br />!t.ECHANICAL <br /> <br />COMPANY <br />St.at.e Cert. or Regist.. , <br />Cit.y License Registration , <br />.*******...*.....*..*.....**.....*...*.... <br /> <br />Signat.ure <br /> <br />omF.R <br /> <br /> <br />." <br /> <br />COMPANY t.U ') <br />Stat.e Cert. or Regist. , <br />City License Registration , <br />***..*...*.*.*...**.**.*.*..........**.*** <br /> <br /> <br />APPLICATION APPROVED BY <br /> <br />PERtlIT OFFICER. <br />