Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPIIYRJlILLS <br />nUILOING DEPARTMENT <br /> <br />f!o1 <br />UWNER'S NAHE ~_kM >~jl/:tt.AAO ,jjAJ) ~ PIIUNE 65,,{6' -..2~ <br /> <br />UWNER'S A!J!JRESS -306~ ~ : /1j 41~- <br />~UD ADDRESS r71!:i7) -. ~ ~ -, _ _ <br />LEGAL DESCRIPTION: LOT(S) nLOC~ SUDDIVISION <br /> <br />.?/7.5! <br /> <br />PARCEL 1. D. it <br /> <br />WORK PROPOSED:-KNew Cons truc Lion _Auultion _Alteration _Repair _Ins tall <br /> _Sign _Move _Demolish <br />PROPOSED USE: _Single family _M/p _ff of Units _M/H <br /> _Commercial _Indus t. _Swim. Pool _Other <br /> <br />(ODTAIN FRON PROPERTY TAX NOTICE) <br /> <br />/lESCRIPTIUN UP WUR:~Slaur:;~~~men~ ~ <br /> <br /> <br />DUlLDING SlZE: X ,;58 :.? Square Peel. lIeighl /~ <br />- / <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF nUILlHNG PLANS & (1) SET ENERGY FORtIS. <br />COMMERCIAL ATTACH (3) SETS Of nUILDING PLANS & (1) SET ENERGY fORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />--L-DUILDING <br /> <br />$ <br /> <br />':? tJ~o./ t1O(), <br /> <br />Valuation of Total Construction <br /> <br />_ELEc.'TRICAL <br /> <br />AMP Sel-vice <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mecl18nical Installation <br /> <br />_PLUMI3ING <br /> <br />GM <br /> <br />HOOFING <br /> <br />TYPE OF CONSTRUCTION: _Dlock <br /> <br />SPECIALTY <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />Signature <br /> <br /> <br />DUILDE~ <br /> <br />~ <br /> <br /> <br />~ <br /> <br />COMPANY A~ '6.a...\\2 l<:::'- \'T\..Jc-, <br />~ State Cert. or Regist. # EC.c....'<..-c(:)lfB~ <br />City License Registration It -.l7L <br />***************************************** <br /> <br />= <br /> <br />PLUMIl~ <br /> <br />~ COMPANY1~,(:p~ A1 E~7IA'v/c~t. ~A"'P~//"'# <br />State Cen. or Regist. # (!PQ/JJ)h. ~() <br />[' -);71 /,?Y't: Cily License Registration II ';;~'3 <br />****************************************** <br /> <br />~ <br /> <br />f S iglla ture <br /> <br />tf.ECllANICAh~ GUHPANY ~u,.e /1l,ft',,;r~ e6~# <br />C' J..?A State Cert. or Regist. # ..neo ~ ~ <br />: Signature Co, /rt~ , City License Regislration n :3 f?:? <br />~************~*************~*************** <br /> <br />.Q.Il.lli.R <br /> <br />Signature <br /> <br />COMPANY_ <br />State Cert. or Regist. It <br />City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED DY <br /> <br />.. <br /> <br />PERMIT OFFICER. <br /> <br />~-. . <br />