Laserfiche WebLink
<br />BLOCK .,5/:7" <br /> <br />c;t)?cx) 1000 <br />OClQ:)O j daD <br />D ADDITION DALTERATION <br /> <br />APPLICATION !'OR PEmaT <br />CITY OF ZEPRYRRILLS <br />BUILDING DEPARTM&:NT <br /> <br />OWNER'S NAME <br /> <br />~~I;~ <br />7 ..? LJ <br /> <br />~ <br /> <br />~~ <br /> <br />/J#~ ~ <br /> <br />JOU <br /> <br />PARCEL I D # ~J.2-j.2-) Ot:' )/'f <br />3S - :2.5' - ~I CJo-r A <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />l ~fR& 'f- /5-0.2 Ic::.t-Y <br /> <br />- . <br /> <br />4- ,/- 0 --I' <br />DATE RECEIVED { I a4.... <br />PLANS REVIEW FEE <br /> <br />PHONE 7"/ .92//7 <br /> <br />SUBDIVISION ~~ t-t./~ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />DREPAIR <br /> <br />[3c.1NSTALL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br /> <br />lii OTHER <br />/o,,~~ <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />/oY.o ~7tk-, <br /> <br />~~ ~Y)$. ;P'aL ~ ~04'L <br /> <br />BUILDING SIZE <br /> <br />.J- 9 "-~ 0 <br /> <br />SQUARE FOOTAGE _ <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILD <br />ATTACH (3) SETS OF BUILDING PLANS & (1) S <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONS <br /> <br />6ILDING <br /> <br />J 1 J-6 <br /> <br />PERMITS REQUEST: <br /> <br />$ <br /> <br />VALUATION OF TOTAL <br /> <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />AMP SERVICE <br /> <br />D FLORI) <br /> <br />$ <br /> <br />VALUATION OF MECHAl <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />/ <br /> <br />/'l_ '7,. I <br /> <br />-j/ <br />?1P <br />~U <br /> <br />C:~ <br /> <br />P0(J;0~-r <br /> <br />,,-, <br />-tT-')j~ <br /> <br />FJ OTHER~~ - ~"l.... <br /> <br /> <br />::::~$ ----. <br /> <br />COMPANY ~? ~_a. <br />STATE CERT OR REGIST # ~ooJ~;/ <br />CITY PROCESSIVOt/6SG~ <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**********~******************************************************* <br /> <br />ImCIIARICAL <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTRBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />