Laserfiche WebLink
<br />APPI.lCATIOB i'OR PB:NII:I:T <br />CrTY O~ zmPHYRHI~I.S <br />BUILDING DEPARTMEN'l' <br /> <br />DATE RKCErvEO d - ;l 0 -01 <br />PLANS :QEVIEW FEE - <br /> <br />OWNER'S NAME F d lj//J y cI <br /> <br />JOB AIh~RESS S5 'f-O irA-I I <br /> <br />,,7 011 P L; <br />1J/l/clZ. €rlf~yfltl 15 <br /> <br />PHONE <br /> <br />,F/. 5JC;?f( <br /> <br />LEGAL uESCRIPTION: LOT{S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />~;;~-;~ /1-:L~-2.I' ()O/O - O,:;,-1/JD - O~.?~T~IN <br />WORK PROE'SED: DNEW CONSTRUCTION 0 ADDI'l'IOlll' ~TERATIOn <br /> <br />N~~ICE\ <br /> <br />FROM PRnPERTY TAX <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />D MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~ERCIAL <br /> <br />DMULTl-FAMUY <br />o INDUSTRIAL <br /> <br />0# Of t.'NITS <br /> <br />o MOBI L~ HOME <br />o OTHER <br /> <br />DSWUfMING POOL <br /> <br />o RESTAURJ.\NT & HEAIJTH DEPARTMENT A?PROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />ty?u. <br /> <br />?'~ <br /> <br />~~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />g-q'i /jf' <br /> <br />HEIGHT <br /> <br />/ 5&/"y <br />, <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH \ 2) PLCT PLANS .I; (2) S.\i:TS OF Bur LlJING i?LANS & (I) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOPNS_ <br />PROE'ERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTIon. <br /> <br />PERMcrTS REQUESTED <br /> <br />l!;(~UILDING <br /> <br />$ <br /> <br />~?5V <br /> <br />V~LUATION O~ TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECF.ANICA.L <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o QAS <br /> <br />o ROOFING <br /> <br />D SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~OCK <br /> <br />D FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />IS. PROJECT nr FLOOD ZONE ARF..AO YES 0 NO <br /> <br />2'k~ - ~861 <br /> <br />:g~i;~r~~:fi~;ti~1~f\i]~F!;~:if;~lifj;;~;;j1WjI:;::f.;(,J1E;j:::;~:?j;;;;~~t':li~:n:~fi(i!i';i~ <br /> <br />SIGNATURE <br /> <br />~ ;:? ~L- <br /> <br />" <br /> <br />COMPANY r(./Tvr;" 5 0C- L../7M ~ f, <br />STATE: CiRT OR R.EGrST # C Cc Cl~%'. ~~l.. <br />CITY PROCESS1NG # .:l?()7 <br /> <br />:S'OII..D&:n. <br /> <br />************~****~**~**********************T********************~* <br /> <br />:::7~:~- .~~ r JV!h/; <br /> <br /> <br />COMPANY 11:(,. t.J"'l!~.. ~---;. lOr ~ . <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />~ <br /> <br />-z,"t- 7-~ <br /> <br />************~***~**.******+******~**~**~.*******************~*+*** <br /> <br />l"L1JltI!ER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESS~NG # <br /> <br />SIGNATURE <br /> <br />."." ** *... *** '* -/0-.* ** *** ***** * ***** * ***'k '/o:'**, **"* '* ...*;.:"''''* ** *******1< ** '" **** ** <br /> <br />HBCHAHl.CAL <br /> <br />COMPANY <br />ST~TE CBRT OR REGlST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**********************************************~*..****."'.*.****** <br /> <br />OTHER <br /> <br />COMPANY <br />STA,!'E CERT OR REGIST ft <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*******~~*~~.~k~~~~*~.*~.**************.************************* <br /> <br />7 'j <br /> <br />'.j ;~ : I <br /> <br />SlllH ~d:E j., <br /> <br />i ~ '"'; <br />.J. ,'...1 <br /> <br />[i\j,~ V l I ': <br /> <br />l Ci 0 ,~ <br /> <br />'Q9:: <br />