Laserfiche WebLink
<br />ommR'S AlmRFSS <br /> <br />om' fill , s NATI~ AR:, 1 <br />" 4. 40 <br />1c4Lj1) <br /> <br />fJ~ <br /> <br />4)0 ~ b ~ RJt e...J <br />fl'. \~~~ R 0 boD <br />PT. \( \,J1 ~ A-P <br /> <br />APPLICATION FOR PERKlT <br />CITY OF ZEPIIYRIIILLS <br />BUILDING DEPARTMENT <br /> <br />~vL c:2 -/f - O~ <br /> <br />.-- <br /> <br />PilON! g c3 - -1~ do - ~7 73' <br /> <br />.JOB Al'f>RF.SS <br /> <br />tRGM. DESC;JtU''CIOH: Wl(S) <br /> <br />BWGR <br /> <br />SUBDIVISION <br /> <br />I'ARCEL Ln.' D~ - ~b-"d.) -OOd-.O.- 0000"0 - () 0"'2..)- <br /> <br />(OUIAIN J;".JmU....r.R9,rrillIU MJt9:rI C;::J <br /> <br />WORK PROrOSEJ):_New Construction ----"ddiLion --..Alteration --"';Repair _llwt.~.1.1 <br /> <br />~Sign <br /> <br />----1'love <br /> <br />_DelK>lish <br /> <br />('RoroSED USE: ~Single Fa.-ily <br />..-t'" COII'I.ercial <br /> <br />-.-KIF _, of Units. _Mill <br /> <br />_Indust. _Swllll. Pool _Other <br /> <br />_Restaurant & Health DepartJIeut Approval <br />, <br />DESGRIP'fION OF WORK: tf\aNwN\~..:sT g i '\tJ <br />I / I I <br />RUILDUIG SIZE: C?~ XQ 'J. . 4J.../J L/ SflU8re Feet. \ ~ Height <br /> <br />RES lDENTIAI.: <br />GOmmRCl\L <br /> <br />ATTACIt (2) PI.oT PlANS & (2) SETS OF BUILDING PLANS & (l) SET ENERGY FORlIS. <br />ATTAl:.lI (3) SETS OF BUILDING PlANS & (1) SET EnERGY FORl1S. _.0 I)L,I /' <br />PROFERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. iZ _ ') 1'7 .// ~ <br /> <br />l.WUilTS REOUESTEQ " ..:> ::;> I ~ LA.: t <br />~)- <br /> <br />.- <br /> <br />Valuation of Total Construction~ <br /> <br />$ ~'ll g~b. ~D <br />I <br />@ ~ _NIP Service <br /> <br />_--"UIUHNG <br /> <br />__ELECtRICAL <br /> <br />Florida rower Corp. <br /> <br />$1-50 <br />W.R.E.C. <br /> <br />_....JmCHAlUCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_l'l.UltBING <br /> <br />GAS <br /> <br />ROOFING SPECIALTY <br />.v. .11~f"'-,J~ <br />____Frame ~Steel~ <br /> <br />Other <br /> <br />life OF CONSTRUCTION: _Block <br />PfUUSJlED n.oOR ELEVATIONS:--u'--FT. <br /> <br />YES <br /> <br />~ <br />NO <br /> <br />IS PROJECT IN FLOOD ZONE AREAl <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTIOli <br /> <br />BUl!Df.A <br /> <br />COttPANY <br />SLate Gert. or Reglst. , <br />City License Registration t <br />....*...................................... <br /> <br />Signature <br /> <br />,~ <br />SJ.8lW.t.w:e)Q . <br /> <br />COHPANY <br />State Cert. or Regist. , <br />City License Registration t <br />.......................................... <br /> <br />~ <br /> <br />COUPANT <br />SLate Cert. or Regist. , <br />City License Registration t <br />.......................................... <br /> <br />/Signature <br /> <br />. __ _.ti1-/y:J ~ <br />,3,j ~ ~f 1'1 "Rlh, <br /> <br />m:JJJm <br /> <br />COKPANY <br />State Cert. or Regist. , <br />City License Registration <br />.......................................... <br /> <br />COIlPANY QbJii~ ~'"\ ~ ~ <br />/--~ State Cert. 0 Regist. t &." 000l.{l7 <br />Signature City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br /> <br />~GllANICAL <br /> <br />APPLICATION Ar~nVED BY <br /> <br />PERKIT OFFICF.R. <br />