Laserfiche WebLink
<br />APP.LIGATION FOR PHRKlT <br />CITY OF ZEPllYRHlLLS <br />BUILDING DEPARTItENT <br /> <br />~ - ,-~ I>--t.) <br />--P'^ I-- I~'.v' <br />.-. -9' t <br />9---.S <br /> <br />G~l\fcl !lOIl-ICON-> <br />OWNER' S ADDRESS 3 6 .3 J 5 /Crt IlL VI (1 vJ filEt 7 L/( ~ / <br />tJ ~ () 9 G/L If r;' /t..l /L r'~-,/f cI. <br />LEGAL DESClUPTION: LOT(S) BLOCK SUBDIVISION <br />5'1- z..s--'"XT - C>tJ j..Q-. (J I st:>c..- t:' t> 0 e>c> - <br />PARCEL LD.' '~r ;;;"S"'YOJ \.LAIIJ'1/Z '2/ 7'tz. Act- 'Ii ~ 5..)- <br />WORK PROPOSED:_Nev Const.ruct.ion _Addil:ion --2(Alt.erat.ion ----.Jlepair <br /> <br />OWNER · S RAttE <br /> <br />PHONE 3SZ '- :i'~."] 11/( <br /> <br />JOB ADDRESS <br /> <br />'2 - f"-( rt'f 5 <br />~ - (-{r;l r 0!fLJ kOM !-10M ;..9.' <br /> <br />_Install <br /> <br />_Sign <br /> <br />~Hove <br /> <br />_D~lish <br /> <br />PROPOSED USE: Single F8IIily <br />Xec:-ercial <br /> <br />_H/F <br /> <br />_, of Unit.s <br /> <br />----1t/H <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Restaurant 5: Health Deparblent Approval <br /> <br />BUILDING SIZE: I iJ (J) X S.s: S; S'e> (j- <br /> <br />Square Feetl~A/;,.,/tf S,T3'Vf. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />cotIHER.CIAL : <br /> <br />ATTACH (2) PLOT l'I..MIS 5: (2) SETS OF BUILDlBG PLANS 5: (1) SET ENERGY FORKS. <br />AnACH (3) SETS OF BUILDUiG PLANS 5: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUlRHD FOR ALL rrnw CONSTRUCTION. <br /> <br />PERKlTS REOUESTED <br /> <br />_BUILDING <br />6.F.CIRICAL <br />-LKECIIANlCAL <br />-tLPiutlBING <br /> <br />$ Valuation of Total Construction <br />3 DO MlP Service VFlorida Pover Corp. <br />91 000 <br />$ Valuation of KechanicaI Installation <br /> <br />W.R.E.C. <br /> <br />GAS <br /> <br />ROOFING - <br /> <br />SPECIALTY <br /> <br />TYPE OF CONS'IKUcrION: ~B.lock _Fruae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAITONS: <br /> <br />Fr. <br /> <br />IS PROJECI' IN FLOOD ZONE AREA? ~ <br />YES NO <br /> <br />......*........*.......................... <br /> <br />CONTRACTOR SECl'ION <br /> <br />BUILDER COttPAIIY P'l H. m "SOu A:I<-'b. +- G J.l57'A.. I/,,;;T;o A- "- <br />~ 7 /J State Cert. or Regist.' ~t'):5' 77 ?/z... <br />Signature ~ :?.\IUJ:/ej,; City Liceose Registration . .2 (. <br />***.***.....***.*.*.........***..*.....*.. . <br /> <br />ELECTRICIAB , COItPANY /fA /Z. yr;y 5P/~'~ Co. ..;vv c, <br />/j _ . -, ~._. State Cert. or Regist.' 1fE5:0C>o ~-~S'''I- <br />SiJPlI::IIture ~ City License Registration' _5" ~ r <br />....... ****..*............**....*....*.. ; <br /> <br />~ COIIPAIIY C G 1"Vl1FtZ. P!.Uho. 6t N ~ <br />. State Cert. or Regist. . G~r 3 <br />City License Registration . __ <br />- .......*.ii........*...................... <br /> <br />ftECBAlUCAL g~. ~ COtIPAIiY <::;;;,v^, '--I J' s:-;;~ y_ CA/7~- <br />~ State CerL or Regist. , (2PvJ"{, (90 c:J. 'f <br />Signature _______ City License Registration . ~ 8 & <br />..... * . . .**.*...*.**...***.**..*.**.*..* <br /> <br />/ <br /> <br />J <br /> <br />PLUffBER <br /> <br />Signature <br /> <br />/' <br /> <br />J <br /> <br />. OTHER <br /> <br />COHPANY <br />State Cert. or RegisL . <br />City License Registration , <br />..*...*.......*...**......*..*...***....*. <br /> <br />Signat.ure <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />