Laserfiche WebLink
<br />APPLICATIOIII FOR PERKIT <br />CI1Y OF Zl\;pJfIKH n.u: <br />BIllIJ)IJIIG DEPAImIEIn' <br /> <br />OWNER'S IWIE E7 m&e.- ~OWER.Jnl(),'JJ <br />OVlIER' S ADDRESS 3 ego I ?f ,( /hu f};JrJ- 100 D <br />I <br />3?i 0 L ~ ..L./1WffNIT ).00 t:J <br />I <br /> <br />.PIIOIIE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPl'IOW: LOI(S) <br /> <br />~SUBDIVISIOR b )/J.jaJA/"Z~ it.) /N~ <br /> <br />PARCEL LD.' ;1../- ;2' - ;;j - 6/ (P 0 - OtJOfJO -1J:J,3.. () <br />- <br /> <br />IiORIt PROPOSED:_1Iev Construction _Addition _Alteration _Repair _Install <br /> <br />S' <br />- 1.gIl <br /> <br />_lIove <br /> <br />_De801ish <br /> <br />PROPOSED USE: <br /> <br />Single F-Uy <br /> <br />_II/F <br /> <br />_, of Units <br /> <br />_"/H <br /> <br />_ec-ercia1 <br /> <br />_Indust:. <br /> <br />_Swill. Pool <br /> <br />Ot:her <br /> <br />_Rest:aurant &- BeaJ.t:h Departllent: Approva1 <br /> <br />BUILDIRG SIZE: <br /> <br />x <br /> <br />~e Feet:. <br /> <br />Height: <br /> <br />RESIDERTIAL: <br />COItIIERCIAL : <br /> <br />AtTACH (2) PI.OI' PLAIIS &- (2) SEIS OF BUIlDING PLAIIS &- (1) SET EllERGY FORflCi. ** <br />ATrACB (3) SEIS OF BUII.DIJIIG PIAIIS &- (1) SET EIIIEKGY I'ORflCi. ** <br />**mpy OF mRTKACl lUIQ(BIRED. <br /> <br />PIr.RIIl'rs IlEOUESTED <br /> <br />~LDIRG <br /> <br />$. o?~OO' l)tJ <br /> <br />Valuation of Tot:al Construction <br /> <br />_ELECIRICAL <br /> <br />MIP Service <br /> <br />Florida PoIiIer Corp. <br /> <br />V.R.E.C. <br /> <br />--1IECllAllICAL <br /> <br />$. <br /> <br />Valuation of lIechanica1 Inst:allat:ion <br /> <br />_PLUKBIRG GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF mRSTRUCTIOR: _Block _Pralle _Steel <br /> <br />Ot:her <br /> <br />FINISHED FLOOR ELEVATIOIiS: <br /> <br />FI. <br /> <br />IS PRO.JECl' IN FLOOD ZORE AREA? <br /> <br />YES RO <br /> <br />****************************************** <br /> <br />Signature <br /> <br />~ <br /> <br />aJWI'.RACIOR SEcrIOR <br /> <br />aJIIPANYN# rr7IkOAl'o/V-~Em~ J)JC!- <br />i1 ~ Sl:at:e Cert. or Regist:. t / <br />IU City License Registrat:ion' L) <f <br />****************************************** <br /> <br />BlnTDER <br /> <br />RT.F..CIRICIAR <br /> <br />aJIIPAIIIY <br />Sl:ate Cert:. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Si....Ature <br /> <br />PJ.DIRER <br /> <br />............':IUlti".. aJIIPANY <br />"',..c9~!..J+.;;''.~, Sl:at:e Cert. or Regist:. t <br />". ~'~~Ato'.~~"~~ City License Registrat;i9i1 , <br />/ ****~~*~*************************~**- <br />;' ~r:qR1 "'"...'.. ~ f; <br />"GH .. __... ~ ~ <br />y,-... ..,..... I" ,."..."..". . . <br />f~!';'4"" ,L-t . C' ~,nuu . . <br />.;>>. .. //'11 ,": Sl:at:e Cert. or Regist. _t- <br />." :'.I~):' City License Registrat:i'oa:,.j.'" <br />.).'.. , " *****************************~ <br />'" ,; 1:1t~? .', .' ~ <br /> <br />Signature <br /> <br />IIECIIAlIICAL <br /> <br />Signature <br /> <br />OTIIRR <br /> <br />aJIIPAIIY <br />Sl:at:e Cert:. or Regist. f <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATIOll APl'KuY1W BY <br /> <br />PERIflT OFFICER. <br />