|
<br />UPLICATIOR I'Oa P:DIII'l
<br />CIIft 01' DnDBILi.II
<br />BUIIDDIG D&P.AD........,
<br />
<br />" 't-~.,.... Ol-
<br />DAD DCaIVm -
<br />>>LUIS DVDIr I'D
<br />
<br />B~K-
<br />#-> I>c ~ r (J ,.J Pr ~ PHONE
<br />
<br />OWNER'S NAME
<br />
<br />11-\E..
<br />
<br />H UNr,,v 6-'ru~
<br />
<br />JOB ADDRESS 7 '5 '-f <.J ~ L ~ t> L-\J D
<br />
<br />2- c;::::.., 1-1 'f.. (Z-I-('('C L.5
<br />
<br />LEGAL DESCRIPTION: LOT(S)
<br />
<br />BLOCK
<br />
<br />,SUBDIVISION
<br />
<br />PARCEL ID ..
<br />
<br />tOBTATN FROM PROPERTY TAX NOTTCE'
<br />
<br />. .:.~.. i! ~
<br />
<br />, ~)
<br />
<br />WORK PROPSED: ONEW CONSTRUCTION
<br />
<br />~
<br />
<br />o ADDITION
<br />
<br />o ALTERATION
<br />o DEMOLISH
<br />
<br />o REPAIR
<br />
<br />o INSTALL
<br />
<br />I"~
<br />
<br />o HOVE
<br />
<br />'l" -:'
<br />
<br />PROPOSED USE: OSGL' I'AMILY DWELLING ,OMULTI-FAMILY 0, OF UNITS ! '0 MOBILE HOME
<br />
<br />.\ .,". '-'...
<br />
<br />OCOMMERCIAL': OINDUSTRIAL OSWIMMING POOL 0 OTHER
<br />
<br />- c:::::J' ~STAUMNT , HEALTH DEP~. APPROWU. . "I A /) ")~, r I
<br />,( ),)", I- 0-- o--r
<br />DESCRIPTION OF WORK f2- ~ 0 U c:-- f- ~("'ST (,...:J ~~ltu- 5' (G-~.s . Se-r:5 6 r
<br />
<br />1)10 I 'i< b."! SQUARE FOOTl\GB . llBI<;HT '-:f!l' i r<- ...J
<br />NOr-J - L- LU fA
<br />RESIDENTIAL: ATTACH (2) PLOT PLANS, (2) SETS OF BUILDING PLANS, (1) SET ENERGY FORMS.
<br />COMMERCIAL: ATTACH (3)'; SETS or' BUILDING' PLANS , (1)' SET ENERGY FORMS.
<br />PROPERTY SURVEY' 'RI!'.OUIRED FOR ALL NEW CONSTRUCTION.', .,
<br />, -. ~ ~' . . .. ~
<br />
<br />BUILDING SIZE
<br />
<br />." ..
<br />
<br />":
<br />
<br />~LDING
<br />
<br />PERMITS REgm:STED
<br />
<br />$
<br />
<br />3Q60
<br />
<br />VALUATION OF TOTAL cONSTRUCTION
<br />
<br />o ELECTRICAL
<br />o PLUMBING
<br />o MECHANICAL
<br />
<br />AMP SERVICE
<br />
<br />o FLORIDA' POWER
<br />
<br />o W.R.E.C.
<br />
<br />. l:~
<br />
<br />].: ,-q;~ : ': ':
<br />
<br />$
<br />
<br />o GAS
<br />
<br />o ROOFING
<br />
<br />, I
<br />o SPECIALTY
<br />
<br />TYPE OF CONSTRUCTION: 0 'BLocK
<br />FINISHED FLOOR'ELEVATIONS
<br />
<br />o FRAME
<br />
<br />o STEEL
<br />
<br />o OTHER
<br />
<br />IS PROJECT IN FLOOD, ZONE AREAO YES 0 NO
<br />
<br />
<br />, , .
<br />
<br />"""LDD ~ ... . ~An (lr"~ U~ t-Ua.-,-.-f-
<br />(' ,. "STATE CERT OR REGIST" C. ~ ,.. vu , ~ 0' (..
<br />SIGNATURE '. ,. . " '. CITY PROCESSING' 2. 7 g 0
<br />J k'e-N-r- ~'"f'~'u-.....NJJ-..i'\,.,;. N~,Jll '7,') OC
<br />.......................................................~.~......
<br />
<br />BLBCDZCIAR
<br />
<br />COMPANY.
<br />STATE'CERT OR REGIST ..
<br />CITY PROCESSING ..
<br />
<br />SIGNATURE
<br />
<br />.......................................r..........................
<br />
<br />.., ..
<br />
<br />PLUMBBIl
<br />
<br />SIGNATURE
<br />
<br />'':t'}
<br />
<br />COMPANY
<br />STATE CERT OR REGIST ,
<br />CITY P~ESSING ,
<br />_.. :'-.- L .\. )',
<br />
<br />,(
<br />
<br />.~ .: ~ . .',! ;~,~ ;; " I ,.:r
<br />
<br />. ~,' , '. I... ,.' ,I J -\.'~ '\;'.... l..'.
<br />
<br />..... .... ......"'.. ...................................._ **.i.......Ir.....
<br />
<br />IIIICIIAR%CA,L..-.~:..-.:..- ,~.;a-.~...-...,.."'.-....--.~___- ---~ ".._-".:-~--..~ ~- ..----
<br />'~', \ f:; 11';
<br />
<br />SIGNATURE
<br />
<br />STAT-E CERTOR REGISTt..., ';
<br />CITY PROCESSING ..
<br />
<br />............~.................................................*..
<br />
<br />0'lBD
<br />
<br />tl i
<br />
<br />
<br />COMPANY
<br />STATE CERT OR REGIST ..
<br />CITY PROCBSSING ..
<br />
<br />SIGNATURE
<br />
<br />. .~. ',., ., ~! (! .' "-'
<br />
<br />.........*......................................................*
<br />
|