Laserfiche WebLink
<br />~.._. ""'---"'-'-"-'--~--"~--~"" ... <br /> <br />- - ~. ........'~-.,,~.."..-.- ...-,......'<:-_...,.,.."..,.......,.,c~...>~.....,...~~_ "'". ___,_~ ....'~ ""ll\.I!'~..,...; <br /> <br />~ .'.... <br /> <br />APPLICAnON FOR PERKIT <br />CITY OF ZEPBYImILLS <br />BUILDING DEPAR'l1IENT <br /> <br />OWNER' S NAHE tit I( 't- <<1 ( ~ ~e..- <br />6\\vu DeW D^ive <br />S\ \verocJ< Dr,'ve <br />LEGAL DBSCRIP'J'ION: LOT(S) JD1 BLOCIL.--SUBDIVISION <2) \ \ vcr- ()q)cs. <br />PARCEL I.D.,Q:?-.;2(o- al-O\2..0-DOCCO-\DaO (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PHONE '813-7'8~- 4s:g~ <br /> <br />OWRER' S ADDllESS ~4CJ3 <br />JOB ADDRESS Lc>L\ ()3 <br /> <br />WORK PROPOSED:~ew Coostruction ~ition -..Alteration ---Repair _Install <br />---Sign. -.JIove -Deaolish <br />PROPOSED USE: -Xsingle F_ily ---1f/F _, of Units ---1f/H <br />_ec-ercial _Indust. _Swia. Pool _Otl1er <br /> <br />---Restaurant & Health De~taent Approval ;:l <br /> <br />DESCIIIPTIOII OF _. <21 ass KoO<<fl/ ~ . ~())~ <br /> <br />BUILDING SIZE: X Square Feet. Height <br /> <br />R&CiIDEI1TIAL: ATrACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COItKERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOIDIS. <br />PROPERTY SURVEY BEQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />-.-JIUILDIIIG <br /> <br />$ d'lS~~ <br /> <br />Valuation of Total Construction <br /> <br />RI.RCTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--llEClWlICAL <br /> <br />$ <br /> <br />Valuation of llechanica1 Installation <br /> <br />~D1G <br /> <br />GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COBS'I'JlUCrIOIf: <br />FIBISIIED PJ.OOB. ELEVAnOBS: <br /> <br />Rloc1t _Fraae _Steel <br /> <br />Other <br /> <br />FT. <br /> <br />IS PROJECT IR FLOOD ZOO ABEA.? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />S <br /> <br /> <br />COIfTRACTOR SECTION <br />a>>IPABY V ctd .. Co1 cl: ru.-c;t-z. ~ <br />State Cert. or Regist. , <br />City License Registration , '8'& <br />.......................... <br /> <br />RI.Rr.'I'RTCIAII <br /> <br /> <br />lei 1'1~ <br /> <br />COHPAlfYJY,lo ( to () <br />State Cert. or Regist. I. <br />City License Registration.' <br />.......................................... <br /> <br />E \ectY I'~ <br />~\ <br /> <br />PLlDlBER <br /> <br />COIIPAIfY <br />State Cert. or Regist. I. <br />City License Registration , <br />.......................................... <br /> <br />-- Sigoature <br /> <br />KECllAlfICAT. <br /> <br />COHPAIfY <br />State Cert. or Regist. I. <br />City License Registration f <br />.......................................... <br /> <br />Sigoature <br /> <br />OTRRR <br /> <br />COKPAIfY <br />State Cert. or Regist. I. <br />City License Registration , <br />.......................................... <br /> <br />APPLICAnD>> _ ~~~ <br /> <br />Sigoature <br /> <br />PERKIT OFFICER. <br />