Laserfiche WebLink
<br />APPLICATJON FOR PERMIT <br />CITY O~ ZEPlfiRHILLS <br />BUILDING DEPARTMENT <br /> <br />-?R(rt4/5 ';,tj-4.;- <br /> <br />OWNER'S NAME CC\5 ~ e ~ -S Co I <br />OWNER'S ADDRESS (,f CJ a ~ W. <br />JQB ADDRESS (/) 0 Lt ~ ~ ) \ <br /> <br />PHONlBL~) 68 7-~d-3 ( <br />~) c,ss c" ~ I: -N>. ~.~ ?,3 h a ( <br />~Iv~ 2fC~~\/rk)1 ts FL 33sLt/ <br />B~SUBDIVISION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL 1. D. t <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction LJddition ----..Alteration _Repair _Install <br /> <br />_Sign <br /> <br />--1fove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br />.:A.-~ercial <br /> <br />--.Jt/F _' of Units _M/H <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />____estaurant &: Health Departaent Approval <br /> <br />Dnv( \\'r: :C..J..\"~ <br />~' II <br />Square Feet, ~ H~ight <br /> <br />~~ },) ~ ~ <br />x~. <br /> <br />BUILDING SIZE: \ a <br /> <br />RESIDENTIAL: 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 />_BUILDING <br /> <br />. ~f:Dl <br />$-/4, OoC} .~.. <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />MIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-'lEClWiICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBIlIG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUGTION: _Block _Fraae _Steel Other <br />FIllISBED FLOOR ELEVAnONS: (). 0 FT. IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br /> <br />RIITT.DER. <br />Signature Q l cJ,6.."& <br /> <br />COMPANY CA () Y 5 <br /> <br />---=-- ,State Cert. or Regist. t <br />, ()W}h.'.C\"'- \ l' City License Registration t <br />.......................................... <br /> <br />~~u4 /J ~COMPANY . <br />~~ aZti2il. 4S.tate Gert. or Regist. <br />tS...eL--. ff . U.0city License Registration' <br />.................*....................... <br /> <br /> <br />RT.RCTRICIAII <br />SiImAture,/ <br /> <br />PLUKBER. COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />.......................................... <br /> <br />KECIIAKlCAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration , <br />.......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration t <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />