Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPIIYRBILLS <br />BUILDING DEPAR'l'KERT <br /> <br />: <br /> <br />OWNER'S IIAHE <br /> <br />Ed (+J R-v l-'" Dp.,v.:i <br />OWNER'S ADDRESS 21 ~Jb POfl'\~/'~ Tv-~ /;ve:5>/i Ct'-'1'_I; ~~o .l~r-stY <br />003 N\>,'#.. '-':;.Jc,<. (k,v.... -Z-e ~~tL-~;tJ) ,.1{)J~/b- <br />LEGAL DESCRIPTION: LOT(S) ~I B~SUBDIVISION Si }V-llil OwKs f:)~~/~", <br />PARCEL 1. D.' 0 ";... 2(P - U - () J ~O - 0000 .. Q 2/0 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:..kaew Construction ----^ddition ----Alteration ~epair _Install' <br /> <br />PHONE Y/3.- '175 - Z 39'- <br /> <br />JOB ADDRESS <br /> <br />_Sign <br /> <br />~ve <br /> <br />_Deaolish <br /> <br />PROPOSED USE: XSingle Feaily <br /> <br />----14/F _' of Units _N/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />---Restaurant &: Health Departaent Approval <br />5, ~J~ R:.~/ Iy ~,~/~ S~t<-l-J C~k t!>/~A. tv!:.).- fI.-- <br />II 0' a/'ll! <br />BUILDING SIZE: 5'1 x '?, , 'l7iOY Square Feet, I Height <br /> <br />RESIDEIITIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />X BUILDING <br />~BLECTRICAL <br />~CIIAlIICAL <br />~PLOIBING <br /> <br />J PERKITS REQUESTED <br />' 1.1 D o/)~; ~ <br />S [) I Valuation of Total Construction <br /> <br />ZOo AIIP Service ~Florida Power Corp. <br />S ~310()'~ <br /> <br />W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />.X ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF OORSTRUC'fiON: ~Block _FraIIe _Steel Other <br /> <br />FIllISBBD FLOOR BLEVATIOIIS: g~ Fl. IS PROJEC'l IN FLOOD ZONE AREA? k <br />YES NO <br /> <br />.......................................... <br /> <br />Si8lJllture <br /> <br /> <br />COIITRAC'lOR SECTION <br />mKPAIIY 1S, 'II fi~ t..)y~J; :1:-<.._ <br />State Cert. or Regist. . C. () <br />City License Registration . <br />.......................................... <br /> <br /> <br />RIJTl.DRR <br /> <br />RI.RCTRICIAIII <br />Sionature (j<,~~ <br /> <br />E,.:~.... k/~/v.'L <br />State Cert. or Regist. t IL 000"7- <br />City License Registration t <br />.......................................... <br /> <br />COMPARY <br /> <br /> <br />cp:~ <br /> <br />PLUMBER COMPANY O~Y'\~T P\ u YY\ ~ n~ <br />D". . u \I~ ~ State Cert. or Regist. . cFCC l./2,9'1 ~ <br />Signature ~ City License Registration' 9 I <br />...... .. ................................ <br />(!~~' ()-~ <br />IIBCllARICAL ~ COKPANY J T (, N.l DML). <br />//.1, 11 State Cert. or Regist. t - co <br />Signature t/'~/... ~ City License Registration . <br />... ..................................... <br /> <br />OTRRR 9- ~ COMPANY ,-/~.J; :r...~. <br />~ <- State Cert. or Regist. t L <br />Si8lJllture U ~. City License Registration t <br />.......................................... <br /> <br />APPLICATIOR APPIIOVED BY ),fd~ /!I..--L~ <br /> <br /> <br /> <br />PERKIT OFFICER. <br />