Laserfiche WebLink
<br /> <br />PHONE <br /> <br />(gIJ)77C;~?fl1 <br />~ tlf/l 0,,1'5 <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: <br /> <br />D ADDITION <br /> <br />DALTERATION <br /> <br />DREPAIR <br /> <br />D INSTALL <br /> <br />DSIGN <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />~~ING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />BUILDING SIZE <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~ lr-rc~ c()"\.cvdc- ,v.I,""'....,} t1JV I v-/ / Ot.-,/K r 5(/(<4 <br />, , <br />SQUARE FOOTAGE HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING 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 REQUESTED <br /> <br />D BUILDING <br /> <br />$ <br /> <br />/1, OuO <br /> <br />- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W,R.E,C. <br /> <br />D PLUMBING <br />D MECHANICAL <br /> <br />$ <br />JV;- <br />~PEC~TY <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D OTHER <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />/ <br />~ / - <br />.tJ<oTHER 1//t!:: <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />SIGNATURE <br /> <br />(!L&;j <br /> <br />COMPANY Jrr.> I:?/l// . .f-r~'7 <br />STATE CERT OR REGIST # CJ?C<J >b 77 Y <br />CITY PROCESSING # )..:3f7 V/ <br /> <br />BUJ:LDD <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY\-\ QLO'{..t n"" Z:\e..e...- SVc. CD. <br />STATE CERT OR REGIST # ~Od\~' <br />CITY PROCESSING # /lI!2- ~ <br />,. 1--- <br /> <br />PLUMBER. <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***********.******************************************************* <br /> <br />HBCBAlUCAL <br /> <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGN~_~~~. <br /> <br />~~~~....:;t::::::.............::~~;...~~;;:....::;;~~ <br />'?<:,J/n ~~~~E P~~S~~N~;IS;;<< 76 ''.If<~>c/ <br /> <br /> <br />***************************************************************** <br /> <br />OTHER <br />