Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPIIYRlIILLS <br />BUILDING DEPARTMENT <br /> <br />jO.-/Lj-7? <br /> <br />OWNER'S NAME <br /> <br />\<o,h,,'r--\- ~6Y\~'r') <br />';5'1 '-ll YO" kJ ire. <br />Wed se fA.) Ol) 0\ <br /> <br />PHONE <br /> <br />7'33- ;2h~~ <br /> <br />OWNER'S AnDRESS <br /> <br />Loi-* 'S 3 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S} <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. t <br /> <br /> <br />ew Construction <br /> <br /> <br /> <br />WORK PROPOSED: <br /> <br />PROPOSED USE: <br /> <br />_Sign <br /> <br /> <br />_~lgle <br /> <br />Family <br /> <br /> _Alteration _Repair _Install <br />_Move _Demolish <br />~/F - # of Units _MID <br />_Indust. _Swim. Pool _Other <br /> <br />_Collllllercial <br /> <br />Restaurant & lIeaHh Departaent APproval;" . '. . . I'. () . f \ <br />DESCRIPTiON OF WORK: ~ 1 Q:5..s ~ lD:(11s - ~ 1.<:> 'h"5 :S:001: 4- Cvrcr6!V <br /> <br />BUILDING SIZE: ~x-1--,~square Feet, 7/C,"Height <br /> <br />RESIDENTIAL: <br />COHMERCIAL : <br /> <br />ATTACH (2) PWT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTAL11 (J) SETS OF BUII.DING PLANS & (l) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~lIJHNG <br /> <br />$ <br /> <br />""2. t?U PERMITS REOUESTED <br />~ 23~(J .--, Valuation of Total Construction <br /> <br />_ELELJRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLllHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.*****************.****.*.*.......******** <br /> <br /> <br /> <br />BUIIDER <br /> <br /> <br />.,,) ~ 'hHlA I <br />COMPANY ~ V'''' <br />State Cert. or Regist. , <br />City License Registration I <br />.....*......***.*.*..*.*............*..*.. <br /> <br />COMPANY F <€- s:; C C )1 <br />State Cert. or Regist. f <br />City License Registration t <br />****************************************** <br /> <br />5:' ~ E Ie-. <2- -I, :~ <br />/'1h <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. ## oo.l}:t;f 7 <br />City License Registration f ,~ <br />****************************.************* <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. ## <br />City License Registration t <br />*****************************.***.******** <br /> <br />Signature <br /> <br />OTIIF.R <br /> <br />COHPANY <br />State Cert. or Regist. ## <br />City License Registration # <br />***.*.**.**********.*******.************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />