Laserfiche WebLink
<br />APPLICATION FOR PERKIT <br />CITY OF ZBPHYRlIILLS <br />BlJILDING DBPAKTKBNT <br />~~ /-?~/A/;r" ~~~ <br />OWNER'S RAKE ~~#?P.JL/b/d/ 4".##'~/~ONE 7fLJ- ~7 <br /> <br />OWMERtS ADDRlS8 c.37"ir /7J/lL/l. t!#-/-f-e/LJ/Z, ~TL50 <br /> <br />JOB ADDREBs.S'/b7?~ ~P/~/Z/7/~ .~ :3 3~7 <br /> <br />LEGAL OE5C1UFl'ION: I.OT(8) BLOCK SUBDIVISION_ <br /> <br />PARCEL 1,0.'_ <br /> <br />COBTAlJLf.kOM P.RQPDTY TAX NQTJCB} <br /> <br />WORK PROPOSKD :_New CoruItroction ---Addition --^Iteration --Repair _Install <br />-.-S ign --"ove -Peaoli8h <br />PROPOSED USE: V Single Faaily ---KIF _' of Unh. --1t/H <br />_eo.ercial _InduGt. _Swia. Pool _Other <br /> <br />~eotaurant . Uealth Deport..nt Approval ~. <br /> <br />DESCRIPTION OF WORlt~~t?a/??. #p1/e Jer-o/- ~~e/' <br /> <br />BUILDING SIZI: ~ x #:) I <;:r,SZ; Square Peet, Beiaht <br /> <br />RESIDENTIAL: AtTACH (2) PLOT PLAHS & (2) SETS OF BUlLDINQ PI.ANS f. (1) SET ENIUtOY FORMS. <br />COMMIDfClAL: ATTACH (3) SITS OF BUILDING PUNS' (1) SRT ENEUGY FORMS. <br />PROPERTY SURVEY RRQlJ1RED FOR ALL NEW CONSTRUCTION. <br /> <br />v-BUl.LDING <br /> <br />~LRCTklCAL <br /> <br />~CIWI1CAL <br /> <br />~UKB~NG <br /> <br />$ <br /> <br />PERMITS REOUEStED <br />./ ~/? Valuation of Total Construction <br /> <br />/ /PC? AHP Service Florida Power Corp. <br />~ <br /> <br />~.R.E.O. <br /> <br />$ <br /> <br />~ <br /> <br />Valuation of Kechanicul Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPRClAtTY <br /> <br />TYPE OF OOISTRUC'l'IOR: _8lock -"r..e _Steel <br /> <br />v" <br /> <br />Other <br /> <br />YUlISDRD FLOOR E1JtVA'tIONS: <br /> <br />PT. <br /> <br />18 PROJECT IN FLOOD ZONR AREAT <br /> <br />YES NO <br /> <br />....***................................... <br /> <br /> <br />COHTRA~~ SECTION <br /> <br />00IIP~ffit/~~~~ <br />State C-=rt. or Regist. . ~ <br />City License Regbtr.Uon' ~:3no <br />............................*.........*... <br /> <br />... <br /> <br />Signat~ <br />/../" <br /> <br />:-=o~ CORPAHY, 0~~~. <br />State Cert. or Resist. t ag:~y <br />. City License Reaistration f I J ~ <br />- . . ...i...................................... 1,,:5"& l7 <br /> <br />PLUHBBIl. - -... COIlPAHY~~.x4P"'O~~~ <br />. State Ocrt-. or Reabt. f ~/ / <br />City License Reat8tratlon . .. <br />.*...............................*........ <br /> <br />SlQJl&tuTe <br /> <br /> <br />IlEGIl#.HII'6I, CORP a . <br />~ Stot. Ceet. or Realat.'. W~ = <br />.i.....lure CLly Ltc..... ..81.'ta"0",' . ~ <br />*.*..***.....**..................**..*..".. <br /> <br />m:Iml\ COHPANY <br />State Cert. or ReRilt. .____ <br />Signat.ure City License Ke8tf4l.ratlofl t <br />.......................................... <br /> <br />Al'l'LlGATIOH APPROVEO BY ~_ PERtlIT OffiCER. <br />