Laserfiche WebLink
<br />r ,/ <br />, t-'I /f.j r tic <br />Vv "l <br />l/bt1/& r <br /> <br />OWNER'S NAME !7a t/ I ;,- ~+ r 4 c-f ..~ <br />JOB ADDRESS I-J 15 ~ 7i ~ IJ ~ kJ C:j l c!) f- <br />LEGAL DESCRIPTION: LOT(S) 3 S BLOCK <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPRYRBILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED Ill:} (0( <br />PLANS REVIEW FEE <br /> <br />7~j ~~ 5'3 <br /> <br />PHONE <br /> <br />3S <br /> <br />SUBDIVISION ~r+- <br /> <br />c <br />--.) ~. <-< e"t./"<... <br />. <br /> <br />PARCEL ID # <br />WORK PROPSED: ~NEW CONSTRUCTION <br />o SIGN <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~,vjk <br /> <br />(:.~ I /~ <br /> <br />t/~~t:: //;'7 <br />FOOTAGE /3 (# 9' /Jl? <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />SQUARE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />o/"BUILDING <br />C:)> ELECTRI CAL <br />P PLUMBING <br />'>' MECHANICAL <br />o GAS 0 ROOFING <br /> <br />$ <br /> <br />(::;0/ COPi <br />I <:' 0 AMP SERVICE <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & (I) SET ENERGY <br />OF BUILDING PLANS & (1) SET ENERG~ ~ <br />REQUIRED FOR ALL NEW CONSTRUCTION 4~L -b <br /> <br /> <br />PERMITS REQUESTED <br />.~ <br /> <br />F~iO':3 <br /> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />l}- <br /> <br />FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />;;(&JOO <br /> <br />J <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0/0 <br /> <br /> <br />i;;H1:f:it~~~~jIiffi[jifllifil~~~t~~{m,f <br />................. .............,...,. <br /> <br />SIGNATURE <br /> <br />COMPANY ~I//J (~I/i.. c.-I':"'r <br />STATE CERT OR REGIS~jt Ltrc <br />CITY PROCESSING # ~ I <br /> <br />01"(, y8 J> <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />f)~ ~- <br />I P <br /> <br />****************************************************************** <br /> <br />f'~lJ'I or s:, CJ ~/Vc-.-v <br />COMPANY , <br />STATE CERT OR REGIST,j (Fe OJ.)50</ <br />CITY PROCESSING # / c: 8 0 <br /> <br />COMPANY 6- "" /F ~.,./ cr <br />STATE CERT OR REGIST fI E/?e?C'07J~ J <br />CITY PROCESSING # d06/ <br /> <br />ELECTRICIAN <br /> <br />~ ~1::-- <br />.----/ <br />SIGNATURE- t <br /> <br />SIGNATURE <br /> <br /> <br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *.Jr* * * * * * * * * ~"9* * * * * * <br />..) c::>;v 'i A 1', '" -,~J <br />COMPANY , <br />J//! STATE CERT OR REGIS:r # f?.~ WI ';? <br />m Co- CITY PROCESSING # cA.Q....)' <br /> <br />YG.>/ <br /> <br />MECHANICAL <br /> <br />******************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*******************************************************~********* <br />