Laserfiche WebLink
<br />~~ f~M y( ~ 1)?g~ <br /> <br />APPLICATIO~ FOR PERKIT <br />CITY OF L:.RPIIYRHIUS <br />BUILDING DEPARJ1tIEIlT <br /> <br />FW~DA M.W'~ (l..INlG- <br />~Ltl tR SD' <br /> <br />OWER'S RAKE tM(' ~ 'JG~ I \~.;. PIlOn <br />OWNER'S ADDRESS ;~\~? ~U,I '-:i1..V~ ~~1*t~ ,f=L 33SttD <br />.JOB ADDRESS ~~~ M~:f' lflu~ <br />LEGAL DESCRIPTIOlM: LDI'(S) 01-" BLOCK Un SUBDIVISIOlM-Z-1 <br />PARCEL LD.' D1~'t{, ~z"l- DOl D - O'J,q W:.. 0030 <br /> <br />WORK PROPOSED:_8ew Construction _Addition <br /> <br />/' Alteration <br /> <br />_Repair <br /> <br />_Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />__KIF <br /> <br />_, of' Units <br /> <br />_K/H <br /> <br />_~rcia1 <br /> <br />_Indust. <br /> <br />_S~. Pool <br /> <br />Other'~ <br /> <br />_Rest:aurant & Hea1t:h Depart:.ent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COHKERCIAL : <br /> <br />A'ITAGH (2) PLOI' PLAliS 5: (2) SEIS OF BUII.DDiG PLAliS 5: (1) SEI' ENERGY FOm,5. *.,...; V <br />ATTACH (3) SEIS OF BUII.DDilG PLAliS 5: (1) SEI' mmRGY FORKS.*:ll- ----(p ~ r <br /> <br />"CUPl' OF CUllTRACT -~ 1\!<lIlIF.STED d ryT--' ,D I <br /> <br /> <br />1'J'~H9 <br />W. R .'.~--=--SJ <br /> <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of' Tot:a1 Construct' <br /> <br /> <br />_ELECTRICAL <br />/ ~~ f1~. <br />_MECHANICAl. <br /> <br />AKP Service <br /> <br />Florida Power Cbrp. <br /> <br />$ '7010W.OO <br /> <br />VaIuation of' Kechanica1 Inst:allation <br /> <br />_PLUMBING GAS ROOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTI08: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FTIiISHED FLOOR ELEVATIONS: ~ . IS PBOJECT IN FLOOD ZONE AREA? ~ <br />*****ititititititit**ititit*it-&-itit*it***itit***it**CJit;;;a** ~ ~ 1 ~ ~1 <br />~/~ tt.?-l ,- <br />COn'RACTOR SECTION ~~ ~ <br /> <br />CO!fPANY <br />St:ate Cert:. or Regist:. 41 <br />City License Registration , <br />itititititit*ititit***itit**itit*it*******itit***itititit**it*:ll- <br /> <br />BUILDEIl <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COIiPAlNIY <br />State Cert. or Regist. , <br /> <br />SiPIi.;4i.U..f..~ <br /> <br />~.~-~- T -=~:":;~_::: R.cg:!.~~-r:1""'i~"),-"" f <br /> <br />*it*ititit****ititititititit*~*ititititit*it***it*it**itit**** <br /> <br />PLUMBER <br /> <br />CO!tPARY <br />St:ate Cert. or Regist:. 4tF <br />City License Registration f <br />******it****it***ititititit:ll-it*itit************itit*it* <br /> <br />Signature <br /> <br />PtEClIAliICAL CO!fPAlNIYJoo~ f1 ~ 0ffLt tJ \'-t.i~ I \ NL <br />~ /} ~ State Cert, or RegisL # ~~'f"'UlOClI'l1 <br />Signature . ,_ City License Registration I {g . <br />it*it*it*it*itit*"'*',.:-....it**itititit*****itit*****itit**ititit:ll- ~ 1- <br /> <br />0"I'1IF.R CO!tPAlNIY <br />St:ate Cert. or Regist. j <br />Signature City License Registration , <br />it*it*itit***it*it*it:ll-ititit*it****it****itit**itit******* <br /> <br />APPLIGATIOR APPROVED BY PERKIT OFFICER. <br /> <br />/ '~, <br /> <br />-~, <br />--- <br />