|
<br />APFl.lGA'rl0N rOR rBIUtIT
<br />CITY or ZErH1RHILLS
<br />8UILDING DEPARTMBNT
<br />
<br />~ uJL,-
<br />0~ n_ q(p"
<br />,d~ 0 ..
<br />
<br />, "
<br />
<br />OWNER I S NAKIL-__L.J;j.J;:....H,EH:;,aQ..\~.,__,_,._____ _____,____.____~_.~_PIlONE 'I? 13 . q'l.J .. ~~-6 ,
<br />OWIID'S A.....UB8 'p (}.&,.,( _..!::J..d~.J::1iE:..lrLi3,L:r _R,,(~f;.Y, 1=1 ~Yf...'i"" O&.l-:.JA
<br />
<br />JOB ADDU88 ,3<1 I ..., I (. 1" hAvE-
<br />
<br />(),~ ',n ) - ~. _
<br />
<br />LB<W. PISCIllrTION; wr(s)_~
<br />
<br />BLOCK
<br />
<br />SU8DIVISION
<br />
<br />PARCRL I.D..... {,;L.....~...::..A-L..:'_.,_..__. COBT~I. PROM PJWPItRTY TAX. .OTICR)
<br />WORlt PROPOSEth-LNftW eoo.otruetiol1 ----Addition ~^ltetati()n _Jepalr _lotall
<br />
<br />____.8184
<br />
<br />_.._Jfove
<br />
<br />_.J)eIIO! ish
<br />
<br />PROPUSRD USE* -L'.....sioa1e F_Uy
<br />
<br />--1I/F ..J:::L,f ot Units ~--Jl/B
<br />
<br />__eo..ccclAl
<br />
<br />__lndu8t. ___S"'... Pool _other
<br />
<br />_Reataul'a.nt , Umllt..h beportAent Approve1
<br />DBSCRIPTIOI or troJU(;_~..-.f!T'.lQ,C ..\.1;:0 LOF;IT'E.-~ ~ PLAN ~
<br />
<br />BUlLDIRO SIZII
<br />
<br />J..
<br />
<br />_._____..__~(Juare Peet,__.. ~)Ieiaht
<br />
<br />RBSJDPJlTIALI ATTACH (2) PLOT PlANS & (2) SBTS OF BUlLI)lNG PLANS' (1) SBT BNBRGI" FORMS.
<br />ootIHDOlAL: ATTACII (3) SETS OF BUILDING PLANS,. (1) SRT BNBRGY' FORMS.
<br />PROPERTY SURVEY R.BQUlRBD FOR ALL NEW OONSnUCTION.
<br />
<br />/OUl.WIRC
<br />
<br />/' RI.EC1'RlCAL
<br />
<br />-LJmawncn
<br />/~"'~.G
<br />
<br />lIBtlU'~ QOURGIRD
<br />
<br />$_..-~_'i~....:,H,~___~Va1UAUon of Total Construction
<br />
<br />,.... ~~~p Service
<br />
<br />____P loridA Power Corp.
<br />
<br />_W.R.B.C.
<br />
<br />S.'__'_~f.OQ _ ____Valuation of H~("h~n1,c.l IOAtaUation
<br />
<br />____GAS
<br />
<br />__,~OOFING
<br />
<br />______srsclALTY
<br />
<br />Tn! OP OOltSTllUcnoM * -L.Dloclt _Fl'a.e _Steel
<br />
<br />Other
<br />
<br />nWlSBID FLOOR ELBVATIONS:_..FT.
<br />
<br />IS PROJECT IN FLOOD ZONE ARIA'
<br />
<br />YIS
<br />
<br />-
<br />NO
<br />
<br />.........*................................
<br />
<br />
<br />~.RCQI.cUl
<br />
<br />
<br />CQJlWJaCJ1l...S.tL'.tI.illi
<br />
<br />V / (~AMr_Claf?J...LC. ,J-illmE~ q 'D~u. R'f LAIt.~'J',:
<br />0~ S_t;.ale C~r.t, or Resl.t. t. CB (!o ~~.,'-Iq
<br />.~<yf!.l!!!___,___~, Ultr l_lc~n8~ Registn,ttcm . /1'.5
<br />...........**..*...**....*~.....~.........
<br />
<br />//:1 CC'H.PANY_,__go GE$L...:E:'-F,~TRI c..
<br />.1/ State Cert. or Itegbt.' ~.1!.. OO'.rl.2.~q
<br />.t1I1Ll1_.,.__.._ '_'_'0___ City J.ic~n'u! R~8istr.ttou . ~(.. q
<br />tr..............................********...
<br />
<br />,i.-nature
<br />
<br />.,.,. '1 ~/ COf1PAtlY_~_-.C~~,,/'l. S
<br />.~ /L I State Cel't. or Re8ifJt. '_!SF-c;,~~ ltl, 3
<br />SJanatw:e .....1.1t::-. ...,_____ City Ltcetuu! Rf!QlaUation . - h
<br />~ .. .....................................
<br />
<br />Signature _ . -,.'
<br />
<br />
<br />OOHPANY~...5alJTtt(~N (r;mEUf- T EN'-.
<br />StAt.e Cr.rL or Realst.' RA~ noon q
<br />. "~-...~.....~,_ City Llcense Registration' ~-3
<br />*;2.. *..~,...............t.*t****t......
<br />
<br />~/ ----OOPlPANY_ C 1A.'"R.l..c, tl9mes f .I.:>E..., By L~Il.pt..~
<br />------- State Cect. or RP.8fat..' Ceca 04:;). a" l..
<br />a ~__ Vlty Llc~o~~ Reaistratioll . !'1OJ-
<br />.........................................
<br />
<br />KEmAIIl~
<br />
<br />O'l1IlUI _ i2 0 (J F
<br />
<br />Siaoature
<br />
<br />APPLICATION A.nOVEb IY _"'"-.,____~.....___~_..__
<br />
<br />P2RM1T OFFICER.
<br />
|