Laserfiche WebLink
<br />"'~l::~~~e-J'::~;:;"3::~:;(-~~:;,_':~r~~r;~:~~~'#t"--~'" <br /> <br />.' <br />" <br /> <br />. . "7 <br />~ :. I <br />...; ,I ,'--- '" <br /> <br /> <br />PHONE <br /> <br />?fg, "c:</Oj <br /> <br />APPLICANT <br /> <br />.:- <br /> <br />(, <br />,. <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />~ l' (9 <br /> <br />3/ <br /> <br />LOT SIZE be" x/ '1'0 AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) I! --i /.2.- <br />PARCEL 1. D . if ,/ i_ d 6- d- / <br /> <br />BLOCKI }O SUBDIVISION <br /> <br />WORK PROPOSED:~New construction ----Addition ----Alteration ____Repair ~lnstall <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />_M/F <br /> <br />_4~ of Units <br /> <br />__M/H <br /> <br />_commercial <br /> <br />_Indust, <br /> <br />_Swim. Pool <br /> <br />5'1.. 11- B <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~F,RMITS REOUESTED <br /> <br />~BUILDING <br />_ELECTRICAL <br /> <br />C/e' <br />$ 700;--- <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida power Corp. <br /> <br />_W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBnG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />..... . <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br /> <br />****************************************** <br /> <br />Signature <br /> <br /> <br />~ONTRACTOR SECTION <br />Company <br />State Cert. or Regist. ~ <br />City License Registration U <br />*********************************** <br /> <br />SiO'nature <br /> <br />Company <br />State Cert. or Regist. ~ <br />City License Registration # <br />****************************************** <br /> <br />BI.F.CTRT CI AN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />}'LllMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />QTHER <br /> <br />Signatureftt $~:/-t: <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />****************************************** <br /> <br />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />