Laserfiche WebLink
<br />APPLICATION FOR PERHIT <br />CITY OF ZEPIIYRBILLS <br />BUILDIRG DEPAR'1"HEHT <br /> <br />t:lt. r<i!iit&6 .~q/ <br />I / I ~/J-'/Y-" <br /> <br />OWNER'S NAHK 7cL-TAU I 61-(2(-lt3c/(-! / CAROL.- <br /> <br />OWNER'S ADDBESS <br /> <br />57L~J <br /> <br />(. ;, <br />I' <br /> <br />C~cdf <br /> <br />-t>lv}' <br /> <br />~ t:-'~IPHoNE 7 f' J - ( ;). /1 (/ <br />.;z epL,'7 (i-.. I iI'l f:t"":'l ,'7 '~ F't / <br /> <br />JO~ ADDRESS <br /> <br />G <Y i .J tv' (5 r+l, '- c'\. t..' t. ~r . <br /> <br />LEGAL DESCRIP'l'ION: LDT(S) <br />PARCEL I.D.' r-'\C(~ !, cc{ 3/1 <br /> <br />~G <br /> <br />BLOCIL...-SUBDIVISION <br /> <br />I '-0 ~ ,. ,i , <br />pd.,;, ~ ... <br /> <br />(OBTAIN FROM. PROPERTY TAX NOTICE) <br /> <br /> / <br />WORK PROPOSED :-!::::JIew Construction ----..Addi tion ---.ft].teration ____.Jtepair _Install <br /> _Sign -.JIove ---.J)eaolish <br />PROPOSED USE: vS'iDgle Faaily ---14/F _' of Units ---14/B <br /> _ec-ercial _Indust. _Swia. Pool _Other <br /> <br />____.Jtestaurant & Health Departllent Approval <br /> <br />DESCRIPTIOR OF WORK: VI e-Lv' ~ knd r.:>.o v... , .;L L,c~ +4.J s', .:A. <7 l <! I c~ ''--, {-, C,-o " 01-<- <br />I <br />BUILDIRG SIZE: 1-t,..L,tlX r-/-'-'(, ,)..,),,11 Square Feet, I r' Height <br /> <br />RESIDERTIAL: ATTACH (2) PLOT PLABS & (2) SETS OF BUILDIRG PLANS & (1) SET UERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDIRG PLANS & (1) SET ERERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW COIISTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~ BUILDIliG <br /> <br />$. <br /> <br />5' ~J ,J- 7 r- <br /> <br />Valuation of Total Construction <br /> <br />{.,/ RT .RCI'lU.CAL <br /> <br />J- o:=:;. AIIP Service <br />J- f 17 -i- , 0 :::'..J <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~ClWJI.CAL <br /> <br />$. <br /> <br />Valuation of lIechanical Inst:allation <br /> <br />~1IIBIRG 11'\ ..:::; GAS ,..... .:::> ROOFI.IIG -\. ..::.l SPECIALTY <br />TYPE OF mRSmUCrIOII: ~loclt _Fraae _Steel ,).;('1 t,;.,.J\.J~l~ ,':.;,J~Other <br />FIBIS.IIED PLOOR. ELEVAnORS: 1- 2--rr. IS PROJECT III FLOOD ZOIlE AREA., /11 C> <br /> <br />YES NO <br /> <br />.......................*.................. <br /> <br />Sisnature <br /> <br />~ ,..,.....' <br />.,L-=,Jt t < '- ""- <br /> <br />CONTRACTOR SECTION' <br /> <br />mHPAIIY ~C; L- F h ~~ <br />I <br />(iJ-J, State Cert. or Regist. .. <br />7 City License Registration . <br />.......................................... <br /> <br />D ".J 'oJ'....':: .~ <br /> <br />DV <br /> <br />RUn.DRR <br /> <br />PLIDIBER \ <br /> <br /> <br />COHPAIIY L -\.~lw...~ G.L...€.L't _ ~gr'-v I <br />State Cert. or Regist.' C)C:)O ~I ~ ~ <br />City License Registration . q r;., <br />..................................... <br /> <br />OI{V' <br /> <br />Signature <br /> <br />COMPANY 're.; i- M U /...L E IV?/.- U /''1 t3 i tv q <br />State Cert. or Regist.' R F .0052-,,:>-0 ~'> <br />City License Registration . / '1 :;J. ~ <br />....~~~~.................................. <br /> <br />IlECIL\III.CAL~ COMPANY A \ v4-~ 'IV 1 ~ c. v - <br />, , .' / State Cert. 1ir Reglsi. ...J'O\f,J 0_ 6 6 t 2 ~ <br />SigDature I' _ 1# ,C City License Registration f 16"'!-~ . '0'.(/ <br />. / ~. .... ...... .........................:; <br /> <br />DTIlIIl . fi2 O>>JPA1IY (j) u.nJ..v' <br />. '~ State Cert. or Regist. . <br />SigDature I /~ c-..!. '. City License Registration . <br />........... .............................. <br /> <br />APPLICATIOII APPIOVBD BY <br /> <br />PERHIT OFFICER. <br />