Laserfiche WebLink
<br />APPLIOATIOIf FOR PJOOUT <br />CITY OF ZBPIlYlUIIL18 <br />BUlLDIHG DBPARTHENT <br /> <br />OWIID'8 MAHR ,hl2.sr /J&.5f.~y'{f:eI4/ f!Ht//U:-+f PHONR <br />OWID'S ADDllSS $$ /0 /9-0 ST ~t>H~J.dC-U .., <br />JOB ADDUSS'17 .s:~~ <br /> <br />" <br /> <br />UGAL DISCRlPTIOR: LOT(S) <br />PARCBL 1.0.' <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(oa1'~JII !fROM ftl)PUTY 'I:,AX NOTl,Cln <br /> <br />WORK PROPOSID:-Kew Construction ---Addi tion ~teration .QL.Repair _ln8tall <br />----.Sian -....Jfove --D_oliah <br />PROPOSED USI: ---"ioale r..ily ---..JII F _' of Unit. ---"'/B <br />_eo.erc::ia1 _Indust. _Swia. Pool l(Other e )HJ4C.it <br /> <br />-..Restaurant .. Health Depar~ent Approval <br />DISClUPTlOII or WORlt: ~LJ~ ~Ylg.BltJ2 S/7Jt.2 ~ /JS:sOC/~e.b REp/l/~S <br /> <br />BUILDIRG SIZB: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Betsht <br /> <br />llBSIDEITIAL: ATTACH (2) PLOT PLANS 1& (2) SETS OF BUILDING fLAHS 1& (1) SET BiElen PORMS. <br />COtIKDCIAL: AtTACH (3) SETS OF BUILDING PLANS , (1) SET EHBRGY FOJUIS, <br />PROPlktt SURVIY UQOIRID FOB. ALL HEW CONSTRUCTION. <br /> <br />2S..sUILDlJIG <br />'X RJ'.crJUCAL <br />---ItECBAJICAt <br />-RIIIBDJG <br /> <br />-v <br />S /..z{ OOD-:- Valuation. of Total Construction <br /> <br />PRRMITS RROUESTRD <br /> <br />AKP Service Florida Power Corp. <br /> <br />WIRIB.C. <br /> <br />$ <br /> <br />Valuation of Kecbanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPBCIALTY <br /> <br />TYPE Of' ocmSDtJCnON: .JL..,alock _Fra.e -Bteel <br /> <br />Other <br /> <br />PDrISIIBD FLOOR BLBVATI0IlS: <br /> <br />PT. <br /> <br />IS PROJEct IN FLOOD ZOliE ADA' <br /> <br />.********............*****........***..... <br /> <br />YES <br /> <br />\? <br />- <br />NO <br /> <br />'. ~ <br /> <br />alITt. (\ <br />Sisoature ~ l. <br /> <br /> <br />CQNTRACTOR SECTIQlI <br /> <br />COtIPAn ;;;lIlY1 M ~ ~SJJ ~. ~ c.... . <br />State Cert. or Regilt. . C. (:reo ~ 'f:'3 '::l <br />City Liceoae Registration . /.? <br />.....................*............ (~~~ ~O~) <br /> <br />v <br /> <br />1I~~CIAlI COKPANY T C. /-I6.eN <br />State Cert. O~ Regi8t. . <br />City License Reaistration . <br />................*..*.............. <br /> <br /> <br /> <br />PLUMBp COMPANY <br />State Cert. or lleaiat. f <br />Sigoature City Licanee Resiatration' 1 <br />.......................................... <br /> <br />IIBCIWllCAL COKPANY <br />State Cert, or ReSIst. . <br />S1Bnature City License ResistratioQ . <br />......*.***~.***.......*****.***.*......** <br /> <br />O'I'IIRR COKPANY <br />State Cert. or Reaist. . <br />Signature City LiceDBe aeai8tration . <br />....................................**.... <br /> <br />APPLICATIOII APPIlOVED BY PERKIT OFFICER. <br />