Laserfiche WebLink
<br />Al'PLlCA'1' iON 1"01{ 1'l::1(t11'1' <br />CITY OP Z~IIIlY HIll LLS <br />llUUDING O~l'AHnlt::NT <br /> <br />OHNER <br /> <br />IJcC <br />3 f'rtfS !J,.tfL/l1 C~o(./tE' J)R i <br />(;..ow ~~r.5 <br /> <br />fJ J..t{ fY) . <br /> <br />APPlICANT <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />7R~-~aJIo <br /> <br />j/T)//7 S~LES <br />, <br /> <br />Jon I.OCA'nON~,T:...2S-.Jc:Pl?/~ MtU9MtlJ9 .(DOP <br /> <br />1.01: SIZE S/' X. 9~ AREA SQ .l'"'T. b;):;) <br /> <br />U:C,^1. DES{:RIPTlON: LOT(S) <br /> <br />BLOC~__SU8DIVISION <br /> <br />l'ARCE!. 1. 0.11 /if-.Jb.-:U- t)/ttJ - ~- CJt:2S:0 <br />HORK PROPOSED: vNew Construction _Addition _Alteration _Repair _Install <br />_Sign/Temp. _Sign _~Iove _Demolish <br />llROPOSED USE: ..........Single Family _M/F _I' of Units ._~I/H <br /> <br />_Commercial _lndu6t. _Swim. Pool Othel' <br /> <br />_Restaurant & Health Department Approval <br /> <br />IIUHDING SIZE I dO X 07.< I <br /> <br />~~2- <br /> <br />Square Feet. /11:"0 9' <br /> <br />IIcj~hl <br /> <br />RESIDENTIAL: ATTACll (2) PLOT PLANS & (2) SETS OF nUILDING PLANS & (1) SET ENERGY fORMS." <br />COtIHEKCIAL; A'l"fAC\f (3) SETS Of' UUIl.l>1NG lll.ANS & (1) SI::'l' ENl::RGY l~OIUlS.u <br />hCOPY Of' CON'l'HACT REQUIREll. <br /> <br />PERMITS RF.QUF.STEO <br /> <br />~lUILDING $ SJ//5:tJtJ Valuation of Total Construction <br /> ; <br />_ELECTRICAL ANI' Service Florida Power Corp. _H.R.E,c. <br />. _ _MECHANICAl. $ Valua t ion of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />SPECIALTY <br /> <br />" <br />TY PI:: OF CONSTRUCTION: _B lock <br /> <br />/PL.'" PJ <br /> <br />Other' <br /> <br />1"INISllED fLOOR ELEVATTONS: FT. <br /> <br />~..........*.**.*.*********..***.*....*... <br /> <br />Signature <br /> <br />/lce /}L-#r? <br />;J~ 2-~ <br /> <br />CONTRACTOR SEC'llill:i /leE~'" /..-1.- , <br />COIIII,uny /'7 ~....,,~, <br />StaFe eel't. or Reght. U c....Q.caJ'Y'P-O <br />City License Registration II /h6 <br />.......*....*.**...*..*~.*..*.*.*~..*.*... <br /> <br />.\iUILUf'R <br /> <br />~LECTRTCIAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Reglst. U <br />City License Registration U <br />.~....***......*.......*..*.,*.*~*..*.**.. <br /> <br />llIlNl\f.R <br /> <br />Company <br />State Cert. 0' Regist. U <br />City Llcense Registration I~ <br />..............."'.......,..,.......".*.. <br /> <br />~~~nature <br /> <br />tl f.' GllMilCAL... <br /> <br />Company <br />Slale Cect. or ReBl~t. U <br />Cj ty Lic.:cnse Heaistl'utlul\ I~ <br />............,............................. <br />, <br /> <br />Signature <br />M <br /> <br />OTIlER <br /> <br />Company <br />State Cect. or Regist. U <br />City License Registration # <br /> <br />Sigrtature <br /> <br />. <br /> <br /> <br />f'ERH1T OffICER. <br /> <br />APl'pCA1'lON APPROVEO BY <br /> <br />~tY' <br /> <br />. 'Il; '-1 <br />-~.~ ~ <br />r..--" <br /> <br />......., <br />l <br />1 <br /> <br />" ~,,' :..,...;\:); <br />. ,: :I~) t .I_t~ <br /> <br />-""-~I <br />i . <br />~ <br />~~. """'..- <br /> <br />1"-..,~, <br /> <br />~'~",tJ.,,~-~.-.r <br />