Laserfiche WebLink
<br />APPLICATION FOR. PIlmUT <br />GI'IY OF ~ <br />BUII.DIBG DEP~ <br /> <br />OWER'S IWtE_V85777 N€RSHMe&elG <br />OWNER'S ADDRESS to:2D~P}@q~ (\ t- <br /> <br />PIIOIiE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />~~mBDIVISION O/}/(-'5J 6H" <br /> <br />PARCEL I. D. t <br /> <br />WORK PROPOSED:_5ew Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />~ve <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single Fa.ily <br /> <br />_KIF <br /> <br />_' of Units <br /> <br />_K/H <br /> <br />_ec:-ercia1 <br /> <br />_Indust. <br /> <br />_Swill. Pool <br /> <br />Other <br /> <br />---Restaurant &: Hea1t:h ~t Approva1 <br /> <br />BUILDDlG SIZE: <br /> <br />x <br /> <br />~e Feet. <br /> <br />Height <br /> <br />, RESIDENTIAL: <br />COKKERCIAL : <br /> <br />A'lTACH (2) PLOI' PLA!iS &: (2) SEIS OF BUILDIIiG PLANS &: (1) SET KNERGY FORKS. ** <br />ATTACH (3) SEIS OF BUILDIRG PLMlIS &: (1) SKI' ENERGY FORKS. ** <br />**COPY OF CONTRACT RIlI1UIRiID. <br /> <br />PERKITS REQUESTED <br /> <br />~UILDING <br /> <br />$ ~/lXX) ,DO <br /> <br />Va1uatiOll; of Tota1 Construction <br /> <br />_ELECTRICAL <br /> <br />AtIP Service <br /> <br />Florida Power COrp. <br /> <br />W.R.E.C. <br /> <br />_KECllAlITCAL <br /> <br />$ <br /> <br />Va1uation o:f Kechanica1 Installation <br /> <br />_PLUKBING GAS ROOFlliG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block ~ _Steel <br /> <br />Other <br /> <br />FllIISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT DI FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />Signature <br /> <br /> <br />BUILDER <br /> <br />SiPn~ture <br /> <br />COIIPAIIW <br />State Cert. or Regist. , <br />City License Registration I <br />******.~****~~*..*********...************* <br /> <br />ELECTRICIAN <br /> <br />Signature <br /> <br />COIIPMlY <br />Statt:: !;ert. or Regist:.. , <br />City License Registration I <br />..**.....**~*~*.******~********.********** <br /> <br />PLOtBER <br /> <br />..~ <br /> <br />OTHER <br /> <br />. <br />. <br />:. '"":.:>..;\ <br />. '>'. '..'" ,r:',-,.l'lt., ' <br />, '1,'.:,.. .'.{. <br />.,...'70 . .. .... -.- "),.'. . <br />.. -Ji ':to ,~,.",. <br />'.(I.If......III' .,\" <br /> <br />ClI!IPJ.l1IY <br />State CeJ.. ,:. or Regist:. f: <br />City }k:~e Registration I <br />***.*..***;,:,**':'!-~."".**'Jlo.\\r**'i.\-*"".*..***.****** <br /> <br />KECllANICAL <br /> <br />Signature <br /> <br />amPM!IY <br />State Gert:. or Regist. f <br />City License Registration , <br />....**...**.**.*.***.~~*.****.**.********* <br /> <br />Signature <br /> <br />APPLICATION APPROVIID BY <br /> <br />PERKIT OFFICER. <br />