Laserfiche WebLink
<br />APPLICATION FUR PERllIT <br />CIlY OF ZJl;mIIClllI.I.S <br />BUlI.DllIG DEPARllutlll' <br /> <br />OWNER · S IIAtIE <br /> <br />c,kct~ <br />~5 (;/ d <br /> <br />Cl <br />, l'tNle)OV) <br />/ 0~/ {r <br /> <br />ftIOlIE <br /> <br />77>75 - 570 i <br />( <br /> <br />OIftIIER' S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />--- <br /> <br />LEGAL DESCRIPl'IOII: IDI(S) ~SUBDIVISIOII <br />PARCEL I~D.t I!j .J.(" - J I - OO{ 0 - 11.:1 (.')0 - 0,;)00 <br />IiORK PROPOSED: Nev Construction --i\ddition _Alteration ~ir _Install <br /> <br />S. <br />- 19I1 <br /> <br />_lIove <br /> <br />_De.olish <br /> <br />PROPOSED USE: <br /> <br />Single F.-ily <br /> <br />_ff/F <br /> <br />_, of UnU:s <br /> <br />_"/D <br /> <br />_~rcia1 <br /> <br />_Indust. <br /> <br />_S~. Pool <br /> <br />Other <br /> <br />Restaurant & Dea1th Deparbent Approva1 <br /> <br />/~I X f'le ': <br /> <br />~e Feet, <br /> <br />2'-/ " <br /> <br />Height <br /> <br />BUILDING SIZE: <br /> <br />RESIDENTIAL: <br />aJtIIIERCIAL : <br /> <br />ATrAm (2) PUJI' PLAIIS & (2) SKIS OF BUII.DIIIG PLAIIS & (1) SKI' ENERGY fOIUIS... <br />ATrAm (3) SKIS OF BUII.DIIIG PIJUIIS & (1) SKI' EIIERGY fOIUIS... <br />..mpy OF mllTRAGr RllQUlRIID. <br /> <br />~UlLDING <br /> <br />$. <br /> <br />Ljio~ <br /> <br />PIImII'IS REOUESTED <br /> <br />Valuation of Tot:al Construction <br /> <br />----ELECl'RICAL <br /> <br />MP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1tECllARICAL <br /> <br />$. <br /> <br />Valuation of ffecbanica1 Inst:allaUon <br /> <br />_PLUltBIIIG GAS ROOFIIIG <br /> <br />SPECIALTY <br /> <br />TYPE OF WNSTRUCTIOII: ----"lock --Yraae _Steel <br /> <br />Other <br /> <br />FIIIISHED FLOOR ELEVAnOllS: <br /> <br />n. <br /> <br />IS PKO.JECl III FUJOD ZOIlE AREA. T <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BUlIDD <br /> <br /> <br />aJnlIACIOR SECI'IOll , <br /> <br />lDIPANY E~q hr~ If- f rJ rn I @lVJ <br />State Cert. or Regisl:.' (' Pl' 0,";2(4) ?7 <br />City License Registration t (;J(f9 <br />............................... <br /> <br />'-- <br />Signature <br /> <br />ItI.ltCTRlCIAII <br /> <br />IDlPAIIY <br />State Cerl:. or Regist. t <br />City License Registration t <br />.......................................... <br /> <br />SilllUllture <br /> <br />PLlJllRER <br /> <br />aJfIPAIIY <br />State Cert. or Regisl:. , <br />City License Registration t <br />.......................................... <br /> <br />Signature <br /> <br />IIEaIAlIICAL <br /> <br />WllPAIIY <br />State Cert. or Regist. t <br />City License Registration t <br />.......................................... <br /> <br />Signature <br /> <br />01'1IItR aBPAIIY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />.......................................... <br /> <br />APPLIc:.\'fIOII - .~ ~ .~~ PIlIIIllr OFFICER. <br />