Laserfiche WebLink
<br />e5/12/2eee e2:49 <br /> <br />JACKS AIR CONDITION PAGE e2 <br />APPLlCA'1'l~ I'OIl ~'1' <br />Clft' or UI'IIYUILLa <br />8VXLDIRG "PU'DaDI'l' DAft UCZ:rvED <br />p~ ~ .... <br />l=>l'oo2... U.~-k..~. T~ k <br />"""E."..... ~\'" L c~<o ~"""'2': ~~~l'" \it' ~,I,~iI"I -, >. -"N4~ "'" '3 <br /> <br />JOB ADDRESS ?,~O~"'6 ~. ______b,JI_,c;i.. 3~5"\ <br /> <br />1 7278199343 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID jI <br />WORK PROPSED: []NEW CONSTRUCTION <br />DSIGN <br /> <br />InBTATN FROM PROPERTY TAX NOTICE' <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />r;r!NSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: []SGL F~ILY DWELLING <br />~OMMERCIAL <br /> <br />C4ruLTI-FAHILY <br />[] INDUSTRIAL <br /> <br />O. OF UNITS <br />[] SWIMMlNG POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT . HEALTH DEPARTMENT APPROVAL <br />DEscrUPTION OF WORK Lx-c.nl".'i:... 6'\ S \br-J ~\r- ~14~ 0-\( <br />\ + <br /> <br />( )f\,-\-. <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS, (2) SETS OF BUILDIN~ PLANS , (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS, (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUES'l'ED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTIl.ICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o V.R.E.C. <br /> <br />o PLUMBING <br />~CHANICAL <br /> <br />$ <br /> <br />\'S><&C1- <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />DGA,S <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AJl,1:J\.[] YES 0 NO <br /> <br /> <br /> <br />8UlLDD <br /> <br />COMPANY <br />STATE CERT OR REGIST jI <br />CITY PROCESSING jI <br /> <br />SIGNATURE <br /> <br />....................................**............................ <br /> <br />KLZCftlCIAII <br /> <br />COMPANY <br />STATE CERT OR REGIST " <br />CITY PROCESSING . <br /> <br />SIGNATURE <br /> <br />...............*.................................................. <br /> <br />PIoUM8D <br /> <br />SIGNATURE <br /> <br />COHl'ANY <br />STATE CERT OR REGIST jI <br />CITY PROCESSING . <br /> <br />.. ... .......,.............. ........ ...................*!'".. ......... ..,... .- <br />~CAI. COHl'ANY y. (' ~'., ~.~~ t.. ~r ~..~. <br />- 11-1 I. i/ /J~ -.---- STATE CERT OR REGIST jI "'tACD '510,00 <br />SIGNATURE ~ ~ ~ ~ CITY PROCESSING /I " "q <br /> <br />................................................................. <br /> <br />0'l'IIIlP. <br /> <br />COHP1INY <br />STATE CERT OR REGIST /I <br />CITY PROCESSING I <br /> <br />SIGNATURE <br /> <br />...........................**.................................... <br />