Laserfiche WebLink
<br />OWNER t S NAHEK,'cJ"q rd <br />0IlIIER' S ADD1lIlSS :!9 0 ~ <br />JOB ADDRESS '-.6 9..3 <br /> <br />1 p-( f{D'~' ~ /rr( <br />~----~/1/0 <br />------.D Z (3 ,- ~ 13 <br />~,~ <br />J)urJ~arU ~NE j7gd-.. - /J95~ <br /> <br />&;:7 .t:~7Y- <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPIIYRHILLS <br />BUILDING DEPARTMENT <br /> <br />LEGAL DESCRIP'l'ION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.D.' /1-;l{P-~/- OO/-OOYD - oaDO /, 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:-LNew Construction _Addition ----^l-teration _Repair _Install <br /> <br />_Sign <br /> <br />~ove <br /> <br />_D~lish <br /> <br />PROPOSED USE: / Single Faaily <br /> <br />_H/F _' of Units _H/H <br /> <br />_ec:-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WO~: Se-+ fijodu/J'tr fJome 6/~1^/c.a/1 1YIe.c..hANJ'cal <br />. <br /> <br />BUILDING SIZE: d-(P X 5,;2. t /383 Square Feet, /fl' Height f>lu fY/.. b/N!};, <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLARS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />..LBUILDING <br /> <br />/ ELECTRICAL <br /> <br />L.,mCllAlUCAL <br /> <br />-LPLUHB~NG <br /> <br />PERMITS REOUESTED <br />$ ~...s; DOt;). DO Valuation of Total Construction <br />.::lOG AMP Service ",/ Florida Power Corp. <br />$ /3 t? G:,. 00 Valuation of Mechanical Installation <br /> <br />W.R.E.C. <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel flJod u ) A YOther <br /> <br />YES <br /> <br />112 <br /> <br />NO <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY~ t-I r (jtlJ~-rfl.A..tr I ()J/ Or- r EurM'- /;:L, <br />;1 ~ State Cert. or Regist. '~"<<CO'>77I'2- /" <br />, City License Registration' 2(0 ~ <br />.........-. ............................~." ~ <br /> <br />COMPANY ..:Do k ' r ..s c S / <br />State Cert. or Regist. , t!i ~ . <br />City License Registration ~ <br />************************************ <br /> <br /> <br />RUTT .nER <br /> <br />Signature <br /> <br />fb-t/( <br /> <br />Signature <br /> <br /> <br />J "COMPANY -/0' ,~ L.... W,,' d"Il-~ <br />I" State Cert. or Regist. I <br />- - ~~~ City License Registration I <br />******************************* <br /> <br />PLUMBER <br />Signature \).o~ <br /> <br />MECHANICAL <br /> <br />COMPANY I'r <br />State Cert. or Regist. , <br />City License Registration . <br />***************************************** <br /> <br /> <br />v <br /> <br />....., <br /> <br />~ <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />