Laserfiche WebLink
<br />AP:~,.:...d~";,""~~ F.JK Pi:OOfIT <br />CITY (I ~ :t:.EPHYHli llX..S <br />BUII.nll'iG DEPAliTKEN'f <br /> <br />OWNER'S <br /> <br />lWtE 7J ~'-f ('J <br /> <br />Sh~ fy PIlOn <br />!-II-( IJ f /h 5~7v Dn. <br />h,5- .3.3 ~/ I V""t'~ 0,10. r( 5 <br /> <br />OWNER'S ADDRESS / d ).. <br />I <br /> <br />JOB ADDRFSS S /J 01 -e.. <br /> <br />LEGAL DESCRIPTIOl'i: I.OT(S) <br /> <br />BJ..O(;K <br /> <br />SimDIVISION <br /> <br />PARCEL LD.t 3 _. OLt --;)....L -O/;;L () .- D cY 08 D - G)~ / 0 <br /> <br />WORK PROPOSED:_JSlew Construction ~tion _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_tiove <br /> <br />_ne.olish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_K./F <br /> <br />_, of Uni.ts <br /> <br />_K/H <br /> <br />_ec:-ercial <br /> <br />_Indust. <br /> <br />-P-Swi..-. Pool <br /> <br />Other <br /> <br />_Restaurant. &: Health ~t ,Awroval <br /> <br />BUILDIWG SIZE: <br /> <br />x <br /> <br />~e Feet. <br /> <br />_Height <br /> <br />RESIDEHTIAL : <br />cottttER.CIAL : <br /> <br />ATTACH (2) PLOr PLAIIS &: (2) SETS OF BUILDDiG PU\.NlS &: (1) SET ENERGY FORKS. ** <br />ATtACH (3) SETS OF BUllDTIiG PLUS &: (1) SKI' EliERGY FORKS. ** <br />**COPI' OF COIffRACT RIlQm:RED" <br /> <br />PERl!IITS REOiJES ,(ED <br /> <br />_BmLDING <br /> <br />uI-- <br />:$ ?OOO <br /> <br />Va1uation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />MIP Service <br /> <br />J!lorida Power Corp. <br /> <br />W.R.E.C.. <br /> <br />_tlECllAlUCAL <br /> <br />$_ <br /> <br />.:.. _Va1uation of Mechanical Installation <br /> <br />_PLUKBDfG UAS __RCOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _B1ock _Fr1me _Steel <br /> <br />Other <br /> <br />FIIiISHED FLOOR ELEVATImiS: <br /> <br />FT. <br /> <br />IS PROJECT Df FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />************~~*******~~*****************~* <br /> <br />FLUftBER <br /> <br />BlJTI.DER , OO!IPMY f/c~ \c c....-- &uJ..s :J;~ --. <br />S1"gnature B.... fl ~~ I I ^ State Cert. or Regist. f C PC-d. J..S'j'~ ~ <br />. ~ ~ City License RegistratiOiil , ...2 0 <br />****************************************** <br /> <br />:::CL\If llII!IPAIIY S If S tJLl.,c17l4> &.,D(J\G <br />~ State Ce'_'t:. or Regist.' C!.. R C> () C3 :;to 45 <br />s; ture --t A. i..{::{J City Liceuse Registration # :;>. 4S <br /> <br />, cmtPAn_ JLrIlAJ. \. 6\,A/, ~ <br />State Cer . (;'r Reg:ist. '_ C~ '<;"r'i ,-- <br />City j~iceLISe RegistratiOn' -2-.0 <br />********************************~*****~*** <br /> <br />aDlTRAt.'TOR 3ECTION <br /> <br />Signature <br /> <br /> <br />cu.~.\h,W <br />State Cert. or Regist. I <br />City License Registration f <br />****************~************************* <br /> <br />KECllAIiICAL <br /> <br />Signature <br /> <br />OTHER. ~' _______' OO1IFANY py ~i~ /;~~"~Vi , <br />~ - Si:at:e Cert. or l~egist:. 41 A y:. C'.J:::J3 y.-.24--/ <br />Signatur City License Registrat.ion ,,' g <:' <br /> <br /> <br />APPLICATION' ~VED BY :1?~~;J:~*---*"*-*"* PERllIT OFFICER. <br />