Laserfiche WebLink
<br />APPLICAnON FOR PEBKlT <br />CITY OP ZEPIIYRIIILLS <br />BUILDIRG DEPARTKERT <br /> <br />OWNER'S lWtE KtNtJt.'fH- M. ~ VlCKl BU~(i(SS :::ft<. PHON" gl'~ ') 7 S>d-. -lq~~ <br />OWHER'S ADDRESS (p1;lS J\)t:>RX1\ tA-trc..~. ZE.~\W{t~,U,S. ~L-, "33S't{c <br />JOB ADDRESS ($ Pl~ ') <br />Sll~fI~ <br />LEGAL DBSCRIP'llOR: LOT(S)-' l B~SUBDIVISION S\uJ~ ~ ~ 0101- <br />PARCEL LD.' 03 -~~-~{-6{.50-~- olio (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:x.ew Coostruction ~ddition ---1J.teration ~pair _Install <br /> <br />_Sign. <br /> <br />---1k>ve <br /> <br />_Deaolish <br /> <br />PROPOSED USE: X-siogle Faaily <br /> <br />----lt/F _' of Units ----lt/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />___..:Restaurant &: Health Depart:aent Approval <br /> <br />DBSCRIP'llOR OP WORK:ft-S r~s:..!\Jl\ A.L <br />( J " <br />BUI.LDIRG SIZE:~. e2'7q.q Square Feet, ~-lf Height <br /> <br />RESIDERTIAL: ATrACB (2) PLOT PLARS &: (2) SETS OF BUI.LDIRG PLANS &: (1) SET ENERGY FORMS. <br />COMMERCIAL: ATtACH (3) SETS OP BUI.LDIRG PLANS &: (1) SET ERERGY POBltS. <br />PROPERTY SURVEY REQUIRED FOR ALL HEW CONSTRUCTION. <br /> <br />PERHITS REOUESTED <br /> <br />~UILDIRG <br />LELEC1'BICAL <br />hCIWIICAL <br /> <br />~mmDlG <br /> <br />$ 10,000 <br />\50 <br /> <br />Valuation of Total Construction <br /> <br />AIIP Service <br /> <br />x <br /> <br />. <br /> <br />Plorida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$....:1 I <V 0 P <br /> <br />Valuation of lIechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE 9P mBSmucrIOR: ~Bloclt _praae _Steel Other <br />, '/ <br />FDIISIIED P.tOOK ELEVAnOBS:~". IS PROJECT IN FLOOD ZOBE AREA? <br /> <br />~ <br /> <br />YES <br /> <br />.......................................... <br /> <br />Signature <br /> <br /> <br />CORTRACTOR SECTION <br /> <br />COMPA1iY f/ oM!.. f)uJtJt.JL <br />State Cert. or Regist. . <br />City License Registration . <br />.................................... <br /> <br />BIJII.DER. <br /> <br />Signature <br /> <br />RT.RCTRTCIAI] <br /> <br />tv/yeP <br /> <br />COHPA1iY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />=.:n Cert.~~ ~~t.~ ~1~llf{~~{,itlfJ <br /> <br />City License Registration . ~ I~ <br />. ....................................... <br /> <br />Jl)oK(o iY <br /> <br />b Ie t-1t;'C- <br />J4 il <br /> <br />PLlllBER <br /> <br />tlECBARICAL COHPA1iY ~If ilL ~ I?tD.4A ~ L (JAJ ..(.A~ ::TN<'. <br />'Y ./4 A State Cert. or Regist. . CAc:.O 1J' V f1 <br />Signature /L--..:. City License Registration, 7 <br />p7 .......................................... <br /> <br />nTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICAfiOB APPIlOVED BY 71 tMIA"~ /lI ~ PBIlIIJ.T OFFICER. <br /> <br />