<br />_._~.......-- ----.--.,..-- -~.
<br />
<br />- ----....--,.--,..-~--.-.- ---~~~:.,j,Jo;~., 'l.~i'~.'---'--'-"
<br />
<br />APPLICATION FOR PERKIT
<br />CITY OF ZEPBYRBILLS
<br />BUILDING DEPARTHENT
<br />
<br />OWNER'S IWIE ~~~ E ~\~~
<br />OWNER'S ADDUSS ~~~~~ ~~~ ~u..S
<br />'?:f69iC?J ~ ~ ~
<br />LEGAL DESCRIPl10N:: I.DT(S )_\ 2. - \3 BLOCK \1.\ \,. SUBDIVISION f!'" ~.. "'! .,.., . i' '.^.. ."
<br />. r,~ ' .. ~:\. \
<br />
<br />PARCEL l.D.' \\ -2-~~\" OO~o- O'&.\~OO-- rl.o (OBTAIN FROMPRgPERTY TAX NOTICE)
<br />liORK PROPOSED:-"ew Construction .---.Addition --Alterat~on ~~ir'.I' ~~tall
<br />, , '. ~... ' l~ . I ' "- ~ . . 1',
<br />
<br />:'.V .,
<br />
<br />,
<br />! ~ l ....~, 'I
<br />, PHONdl,-13~-5~C3
<br />
<br />;it
<br />
<br />JOB ADDRESS
<br />
<br />.'
<br />
<br />". ',!.".
<br />
<br />. , ",'
<br />
<br />'.' J \/'.' ..
<br />
<br />--..-Sign
<br />
<br />--Ilove
<br />
<br />---Peaolish
<br />
<br />"l :,' ~ ", ': ,.
<br />
<br />. t..
<br />
<br />PROPOSED USE: _Single Fsaily
<br />
<br />---l-tl F
<br />
<br />_' of Units
<br />...1t:Swia. Pool
<br />
<br />__J;tfH ...~"
<br />
<br />:t
<br />
<br />_ec-ercia1
<br />
<br />_Indust.
<br />
<br />'1' 1'.
<br />_Other" ,
<br />" ".' ." ,~
<br />
<br />. ,..
<br />
<br />. ---..Restaurant &: Health Departaent Approval
<br />. , I ...
<br />DESClUPTION OF. WOlUt:_l\~\\ ~ ~~) l.\ 'I-.. 2.., ~lJ..).MM\~ Qc:b\..- .
<br />
<br />\ ~, !;
<br />
<br />,.
<br />
<br />Height
<br />
<br />, I ..;., ,,- "~-J
<br />
<br />BUILDING SIZE: '
<br />
<br />x
<br />, ,
<br />
<br />Square Feet.
<br />
<br />~",ji:;~ ;;I~l. ~,. tl~:;: ~t
<br />
<br />RESIDEITIAL: ' ArlACII.(2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) ~~T)ut~GY.~,Pp.J.UIS.,
<br />OOtIHERCIAL: ArlACII (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS'" .. ':' ,
<br />PRClPERTYSURVEY REQUIRED FOR ALL NEW CONSTRUCTION. . . " . .
<br />
<br />I t ~ .
<br />
<br />RT.RC'J'lUCAL
<br />
<br />AIIP Service
<br />
<br />PERMI.TS REOUESTED
<br />Valuation of Total Construction
<br />r ,."
<br />
<br />~ Florida Power Corp. ....
<br />
<br />~!~
<br />
<br />---.J)UlLD~G
<br />
<br />$.
<br />
<br />;'1i Ij'
<br />
<br />, ," \
<br />. .., W.R.E.C.
<br />, 'I,'
<br />
<br />--.-JIEClWlICAL
<br />---..PLUMBING
<br />
<br />$.
<br />
<br />Va1uation of Kecbanica1 Installatio~. I:
<br />
<br />I.
<br />
<br />SPECIALTY
<br />
<br />'4t','
<br />
<br />GAS
<br />
<br />ROOFING
<br />
<br />.1
<br />
<br />nllISBED FLOOR ELBVAnOIllS:
<br />
<br />Fl.
<br />
<br />-"u.e _Steel O~er ' . . '. .
<br />
<br />, I'~~H !;'i!'1 :.~ '.r, I
<br />IS PROJECT IR FLOOD ZO"E AREA' . '. ,,_'
<br />...YES. .:10
<br />" \ ,.; ,( : 'l,;, ," :...
<br />
<br />rIPE ~F:. OOBSTB:UCTION: -...Bloclt
<br />
<br />.,'1:
<br />
<br />.......................................~..
<br />, .
<br />
<br />. t ! .~ ~,~ t:_~ ~ -.; "1) , ..
<br />
<br />, 'i~'
<br />
<br />f';~; "1, ~t ~ "l~ {1 :,
<br />
<br />,I .
<br />
<br />CONTRACTOR SECTION
<br />
<br />It.mtJltnl
<br />
<br />cotIPAIIY
<br />State Cert. or Regist. ..
<br />City License Registration f
<br />..........................................
<br />
<br />iiaoature
<br />
<br />o .RCTRICIAIlI
<br />
<br />,':> l~ ; t
<br />
<br />;i -.nAt.ure
<br />
<br />COHPANY
<br />State Cert. or Regist. .
<br />Cit.y Liceose Registration .
<br />..........................................
<br />
<br />'" ....
<br />
<br />~LIJMBER
<br />
<br />COKPARY
<br />State Cert. or Beaist. .
<br />City License Beaistration .f.,
<br />..........................................
<br />
<br />~ .
<br />
<br />;ignature
<br />
<br />II '....,.. ii'.
<br />
<br />IECllAllICAL
<br />
<br />COMPANY
<br />State Cert. or Begist. .
<br />City License Beaistrationf
<br />.......................................... .
<br />
<br />aaoature
<br />
<br />'. '_t
<br />
<br />. ~ r,' s i OJ t: . n,',
<br />
<br />lDIIIl COMPANY
<br />State Cert. or Beaist. .
<br />U8Dature City License Reaistration ..
<br />..........................................
<br />
<br />~PLICATION APPBoVED BY PDHIT OFFICER.
<br />
|