|
<br />~~c:~~~ (/(Lf4~/711JO/~
<br />
<br />BUILDING DEPARTKERT
<br />
<br />OWRER'S IWIE t>>IUr+e.D v.J P'IAJ( Fe.e. -:Ie., t SJ,;dey {'(\ FEr
<br />OWRER'S ADDRESS 5Blt:3 "9th ~+. Z(?fh~""I-f,"}I.r F/v-..
<br />JOB ADDRESS S AfY1 c a ~ a. b'Z>l,) tE'
<br />fht. SooM J.;; of' L,qf- !L 4/1 O+.AAJd) .
<br />LEGAL DESCRIPTION: LOT(S~l! ,Of fJ B~SUBDIVISION
<br />Q~~~,_~_~_~~ 11 - 24:, - 2 I - 00 I 0 - 04800 - 009 CJ (OBTAIN FROM PROPERTY TAX NOTICE)
<br />WORK PROPOSED:~ew Construction .-X.Addition -KAIteration ____epair LInstall
<br />
<br />PHONE 813 -78Z -2Z4y.
<br />33S-<-/o
<br />
<br />_Sign
<br />
<br />----.JIove
<br />
<br />_DeIIolish
<br />
<br />PROPOSED USE: ~Single Faaily
<br />_ec-ercial
<br />
<br />----KIF _, of Units ---.Jt/H
<br />
<br />_Indust. _Swia. Pool _Other
<br />
<br />____estaurant & Health Departaent Approval
<br />
<br />DESCRIPTION OF WORK: (Add ;t1S CCAr-- foe-+ ~ P,2,'uEJt ~ F+'.oCOYlc.
<br />
<br />BUILDING SIZE: 3D' Xbl'tt-': 9l/D Square Feet, 8' Height pevk....a.IM\>sf 1-"
<br />
<br />RESIDEI1TI.AL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ERERGY FOIUIS.
<br />COMKERClAL: A'nACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
<br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
<br />
<br />~
<br />
<br />r:~
<br />
<br />PERKI.TS REQUESTED
<br />
<br />RI.RCTlUCAL
<br />
<br />AIIP Service
<br />
<br />Florida Power Corp.
<br />
<br />W.ll.E.C.
<br />
<br />I:...;
<br />"
<br />~)(':':',::~
<br />'-'-:'~
<br />'~'i;l""~~~
<br />
<br />~~: ~~
<br />i:~:.~
<br />, .:, ~
<br />': i)
<br />
<br />
<br />';'e.,' ,!,'. I
<br />..~' ~1k,; ~
<br />, ;~',r.~
<br />," ~J
<br />1 ,~ )1,; ~~;dl
<br />,,' i"~'
<br />_:'-;::';o:{~:; - - ;, _
<br />~".:~i\t,~' ..
<br />
<br />;~~',:;,. ','",..,., ~
<br />
<br />
<br />-:t~',::.,:::':",k.~;"}: -_>:w
<br />
<br />~:' .,., ~;-.~ :-X',:->~\-Lj'",-\
<br />
<br />,;~;:':-:;;<, !;i~
<br />;. ",'C.,'
<br />-, ~',' " "f - ,;,:;..,
<br />
<br />
<br />
<br />
<br />.- 'f'"
<br />
<br />
<br />
<br />"i, t' ]f~~~,i~ I
<br />· ~~; ~:;~lJ;1( 1
<br />
<br />
<br />--K..BUILDING
<br />
<br />$ .s-c8 7 Z ,'->0
<br />
<br />Valuation of Total Construction
<br />
<br />--lIECIfABlCAL
<br />
<br />$
<br />
<br />Valuation of Kecbanica1 Installation
<br />
<br />-PL1JlIBIliG
<br />
<br />GAS
<br />
<br />X ROOFING
<br />
<br />SPECIALTY
<br />
<br />TYPE OF COIISTRUcnOR: ---B1oclt .,XFraae _Steel
<br />
<br />(CO()C)
<br />
<br />Other
<br />
<br />PIIJISIIED PLOOJl ELEVAfiOIlS: Fr. IS PROJEct IIi FLOOD ZORE AREA!
<br />(8 'A f2..,0vc f<() tit)) 54""'~ I/.> I-bv.s e YES
<br />..........................................
<br />
<br />
<br />CONTRACTOR SECTION
<br />
<br />BIITT.DRR COlIPAIIY
<br />;:ii&, . ~ State Cert. or Jle&ist. .
<br />Sigoature ~.d'~~____ City License Registration .
<br />.. ....................................
<br />
<br />RI.RC'l'RTCIAR
<br />
<br />SiGnAture
<br />
<br />COtIPAIlY
<br />State Cert. or :Regist. f
<br />City License :Registration f
<br />..........................................
<br />
<br />OTRRR RtJ1II,:'/A.J& COMPANY
<br />. ~ State Cert. or _ist. .
<br />Sigoature ~..v~~ ~ J City License :Registration f
<br />- .... ....................................
<br />
<br />
<br />PLDMBER
<br />
<br />Sigoature
<br />
<br />COlIPANY
<br />State Cert. or :Reaist. f
<br />City License :Registration f
<br />..........................................
<br />
<br />KECllARICAL
<br />
<br />Sigoature
<br />
<br />COMPANY
<br />State Cert. or :Reaist. f
<br />City License :Registration'
<br />..........................................
<br />
<br />.> ,~,~f.;;.'_
<br />
<br />:: ~
<br />.; 11
<br />~'-, ':(~."'" it,:;
<br />
<br />+~
<br />;. ~
<br />~;).'::~ ~~
<br />
<br />, " ':---:f'~~:
<br />
<br />APPLICAfiON APPROVED BY PERKlT OFP1ca;a.
<br />
<br />,,';,:,'--"
<br />
<br />. 'H":~'
<br />
<br />',;';'
<br />
|