Laserfiche WebLink
<br />APPL,ICATION FOR PERKlT <br />CITY OF Z.I!:IJIIYRHILtS <br />BlJIIIDHiG DIl'.PA\RlftElIiT <br /> <br />OWNER · S NAttE <br /> <br />h~ \_C\,~10D <br />3<6/OV tJlA/rlLS <br />(,() /.AjTfU. S If tI- f <br /> <br />.PHONE <br /> <br />OWNER'S ADDRIl'SS <br /> <br />UL. <br /> <br />.JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: tofU;;) <br /> <br />BLOCK <br /> <br />SUJBD IVIS ION <br /> <br />PARCEL I. D. t <br /> <br />.-Jddition _Alteration ~~ir <br /> <br />_Install <br /> <br />WORK PROPOSHD:_lNfev Construction <br /> <br />_Sign <br /> <br />_l!Iove <br /> <br />_DeIIOlish <br /> <br />PROPOSED USE: \.~ingle Faaily <br /> <br />_H/F <br /> <br />_, of Units <br /> <br />_K/8 <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Swa. Pool <br /> <br />01:her <br /> <br />-----.Ilest:aurant & Health Depar~t Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COIIfttERCIAL : <br /> <br />ATTACH (2) PLOI' PLAliS & (2) SEI'S OF BUILDHfG PLUS & (1) SEI' ENERGY FORKS... <br />ATTACH (3) SEI'S OF BUILDDIG PLMS 5: (1) SKI' ERERGY FORKS... <br />"OOPY OF OOIITRACT RE'QlIJIRIlD. <br /> <br />~UlLDING <br /> <br />. flU <br />$ !ttb() <br /> <br />PERKlTS REQUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Gorp. <br /> <br />W.R.E.C. <br /> <br />--1IEt."HANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLlJKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _FGmIe _Steel <br /> <br />Other <br /> <br />FUIlSHED FLOOR Kt.EVATlONS: <br /> <br />FI' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />................................................ <br /> <br />aJIIlTKAcroR SECTION <br /> <br />BUILDER <br /> <br /> <br />CU!lPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................................... <br /> <br />5 dI{Snt-r€ <br /> <br />4C(JHr't/()~ ~c <br /> <br />7,7 <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />CU!lPADlY <br />State Cer1:. or Regis1:. , <br />City License Registration t <br />........................................................................ <br /> <br />Silmature <br /> <br />PUJKBER <br /> <br />Signature <br /> <br />COIIPART <br />State Cer1:. or Regis1:. , <br />City License Registration t <br />...................................................... <br /> <br />KEmARICAL <br /> <br />Signature <br /> <br />CU!lPARY <br />State Cer1:. or Regist. t <br />City License Registration t <br />.................................................................. <br /> <br />OTRKR <br /> <br />Signature <br /> <br />CUKPMfl' <br />State Cert. or Regis1:. , <br />City License Registration , <br />.......................................................... <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKlT OFFICER. <br />