Laserfiche WebLink
<br />APPLICAnOR FOR PERltIT <br />CI'IY OF ZEPIIYRII.IU..S <br />BUII.DIJIG DEPAImUl'.liT <br /> <br />OWER'S IWtE C / /J ;2.elll C L . r )} /l/ 111 A <br />OWRER'S ADDRESS - 4 b 4 ~ C JlIi te te r <br /> <br />:s Q Yr>e <br /> <br />fJe rvde r SON PIlOIIE <6/3- 7 f ~ - ~ Ie 7/P <br />S r 0:.v E J 1'- t-v c eel rn H fj 2.~phYIII./)I ~ F J :3 55 Jj ) <br />G:t. b 0 ve.... <br /> <br />JOB ADDRESS <br /> <br />01 !i. <br /> <br />LEGAL DESCRIPl'IOIl: 1OI'(S) <br /> <br />.BLOCIL-SUBDIVISIOB E c( 9t. VII cod 1Yl 1"1 P <br /> <br />PARCEL LD.' <br />WORK PROPOSED:_"ev C'onstruction ~tion _Alteration ~ir _Install <br /> <br />S. <br />- 19B <br /> <br />_I!fove <br /> <br />_De.o1ish <br /> <br />PROPOSED USE: '-1 Single Fa.ily <br /> <br />_"IF <br /> <br />_' of Units <br /> <br />--1I/H <br /> <br />_~rcial <br /> <br />_IDdust. <br /> <br />_Swill. Pool <br /> <br />Other <br /> <br />~1:aurant & Hea1t:h Deparment Approval <br /> <br />BUILDIXG SIZE: 39, ~..... X J '1 J <br /> <br />g33 <br /> <br />~e Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: AtTACH (2) PLOI' PLAIIS & (2) SEI'S OF BUII.DDfG PLAJlS & (1) SET ERERGY FORKS. ** <br />cottItKRCIAL: AtTAat (3) SEI'S OF BUII.DIJIG PLAJlS &: (1) SET ERERGY FORKS. ** <br />**COPr OF COIITRACT :REqUIRED. <br /> <br />PJr.RJfTlS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />'37')3,13 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />A!IP Service <br /> <br />F10rida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---'lECBAlUCAL <br /> <br />$ <br /> <br />Valuation of "echanica1 Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />>< <br /> <br />r <br /> <br />ROOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCT'IOIl: ---..Bloclt _Pralle _Steel <br /> <br />Other <br /> <br />FIlIISBED FLOOR ELEVATIOBS: <br /> <br />FT. <br /> <br />IS PRO.JECl IN FLOOD WIlE AREA? <br /> <br />YES NO <br /> <br />*.**.*******..***.*********************.** <br /> <br />BIJTI.DER <br /> <br />COU'KACIOIl S~' 1211 ve- I}1c .Alc- 7/ ' <br />.Qru~~IY7'<4" ew"w11 SaVlrs. )1=-iV:C. <br />~~~MJ' }:).'>5~ " il.lch.r V'.;l-e l.,q"o "'I 3Vj,.~ <br />_' te Cert. or Regist. # CCG057~ 1~ <br />License Registration # ~/~ <br />***.*.***..*..****..******.*****.***..**.* <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />aJIIPAlIY <br />State Cert. .or Regist. # <br />City License Registration . <br />..***.*************************.***.****** <br /> <br />SiPnature <br /> <br />PLUtlBER <br /> <br />aJIIPARY <br />State Cert. or Regist. # <br />City License Registration . <br />***.*.*****.***...*************..****...** <br /> <br />Signature <br /> <br />ItECIAlIICAL <br /> <br />aJIIPAIIY <br />State Cert. or Regist. . <br />City License Registration # <br />.****..******.***.**..***.....****.******* <br /> <br />Signature <br /> <br />0T1IRR <br /> <br />aJIIPARY <br />St:ate Cert. or Regist. # <br />City License Registration # <br />**.********.***.*..*******.**.*.*.*.****** <br /> <br />Signature <br /> <br />APPLICAnON APPROVED BY <br /> <br />PERItIT OFFICER. <br /> <br />~_.,.~ <br />