Laserfiche WebLink
<br />APPLlCATION FOR PERMIT <br />CITY OF ZEPIIYRlIlLLS <br />BUILDING DEPARTHENT <br /> <br />5vb/'t'>--, .f/~~ <br />/'J. - !~~(J,? <br /> <br />, <br /> <br />OWNER'S NARE UJ ': I \ ,'eo...~ <br /> <br />.A t..r.lf -ed-- JJ y e <br />, I <br /> <br />?~6" ;:::Y ^-,^-,,-t-- Dr. ()Je.~\-ey <br />A1 (Ai l:d- .:;~ l~ ~ [) r i ~_ <br /> <br />"'lONE <br /> <br /><3' /5 - 173- if;) J-G <br /> <br />c ~c.-. f l-€.. 7/ R. 33,)-L/ J <br /> <br />~ <br /> <br />OWNER'S ADDRESS . e <br /> <br />JOB ADDRESS ? - ~ (J '-( 0 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. , 0 ;;[ - a fn - d.-l - 0 c 10 - 0 ~ <; () 0 - 0 CI.?-U (OBTAIN FROM PRO~TY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ____Addi tion -...Alteration ~epair ____Install <br /> <' Sign ---"ove -.De.olish <br />PROPOSED USE: ____Single F~ily --"IF _, of Units _Mill <br />" -Lec-ercial _Indust. _Swu.. Pool _Other <br /> <br />~estaucant & lIealth DepartJIent Approval <br /> <br />DESCRIPTION OF WORK: &" ~k \ \ <br /> <br />v..s......\\ <br /> <br />s " c; V'-S <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <br /> <br />ATTACI (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACI (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTEQ <br /> <br />~BUILDING <br />"-"""" ELECllUCAL <br /> <br />$ <br /> <br />I c~ <br />,6IJo.- <br /> <br />Valuation of Total Construction <br /> <br />NIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1IECBANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF OONSTRUCTION: ____Block ____Fr~e ____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 /> <br />BUIIJ)~ <br /> <br />CONTRACTOR SECTIO<< <br /> <br />COIIPANY 0; '" ; e- <":S'" &-~~ <br />State Cert. or Regist.' IE 5" 0" 0 0 7 <br />City License Registration' :'l'X( 0 <br />....................................... <br /> <br />Signature <br /> <br />COMPANY n /,c t €- 5,"<;1'-5 CT- "'-( . <br />State Cert. or Regist.' E ~d c cI c:t er 73 <br />City License Registration' . CjS"' ~ <br />....................................... <br /> <br />PLUKBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />KECBANIGAI. COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />OlDER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration I <br />....*..**....~..**..*.......*............. <br /> <br />APPLICATION APPROVED BY PERHi~ OFFICER. <br />