DRB9600S
DRB 9600s
Intervest Bank
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CHES TNUT STREET
60'R/W
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Spencer and Jonnatti Architects, Inc,
ArC~llecture
lnlenor DesIgn
Planmng
1661 Easl Bay Dnve
Largo, florida ]4641
8t3J 585-ARCIf
FAX 8\3 1586-2526
'Iransmittal
Date: 1, t/i ~
Project: \tJ1~-C1-ltJ1fJ..r1
To: n~. DON M~~~
&-\'1'( of ("vtV(~
We tran~~~~
y nerewith
The foll~ing:
,,( ) Drawmgs
( ) Specifications
( ) Shop Drawings
( ) Under separate cover
( ) CertIficate for Payment
( ) Change Order
( ) Other
Copies
Description
Date
)0
)0
A'7
( '!;-1 0 ' ~ f~ fLIrfJ
Action:
'f~), ~
~D
Remarks:
Copies To:
By:
Clearwater 1994 Smdll BusIness of the Year
Memrers of the Amencan Institute of ArchItects
AA COOlII35
t1WL\C:J~\\o0 ~ ~lA'tJ.s // C - \ )
"'E:.L.- 2:.'-{ ~LDU<? ~
9-,u-.. CITY OF CLEARWATER
~)' · CENTRAL PERMITTING DEPARTMENT
t"': f5.:. ~ 100 S. MYRTLE AVENUE
~If.--=- \~ CLEARWATER, FLORIDA 34616
~TEt (813) 562-4567. FAX (813) 562-4576
,. * PERMIT APPLICATION * *
Co~ .
~ I III I tHrcAL USE ONLY
-
SUBDIVISION CODE - APPROVAL
OIST/ZONE _ ZONING
FLO<Xl ZONE BACKFLOW DEVICE
WATER METER SIZE TYPE OF CONSTRUCTION _
RECEIPT NUMBER - AMOUNT PAID _
FAILURE TO COMPLY WITH MECHANICS LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR
BUILDING IMPROVEMENTS 1-4- 04 Qs3f:'1-
PARCEL NUMBER I I I
-0
PROPERTY m
G:: 0 (p {..+~ u l' S-r, 31''' f-; :D
LOCATION PROJECT ADDRESS ZIP CODE ~
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\N-rUy~1 t7AN~ z
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BUSINESS NAME s::
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LOT BLOCKlTRACT SUBDIVISION :0
OWNER
ADDRESS J ~(S PYA/C-t-tflZ (Z-D N I
CITY (/~ VvM ti: STATE -----f L ZIP :; 4 G v 5:
NAME t:;, f(/fr'i eM- ~D JONNA-fif ~ TELEPHONE ~<z7)1 ~ 7 ~i(
ADDRESSJ torR l ~ ~ D~ FAX. # S"~J(O '2-(Z--"
CITY W{pO STATE f"v ZIP ~
STATE R~ISTRATION NUMBER AA COD I ~ 3>
ARCHITECT!
ENGINEER
NAME ~ lDO{ fJtp
TELEPHONE
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CONTRACTOR
ADDRESS
FAX. #
CITY
STATE
ZIP
E#
OCCUPATIONAL LICENSE #
CITY ISSUED BY
WHAT IS EXISTING BUILDING USE _tbA1v~
CENTRAL PERMITTING &,41J\-:..-
CITY OF CL~1i~ROPOSED BUILDING USE ,
GENERAL /1
INFORMATION NUMBER OF LIVING/BUSINESS UNITS - t-
(Smgle lamlly reSidence. of/ICe, retail)
SQUARE FOOTAGE
LIVING
BUILDING HEIGHT ~- V I
COMMERCIAL "1..- \ I q 4lof & 0
OTH E R TOT AL-1::.1 , C( 4: ~ f (; 0
I
NUMBER OF STORIES
~
GARAGE/CARPORT
1430-o025.GC
CONTINUED ON REVERSE SIDE
Rev 5-96
IF FAX PERMIT PLEASE ENTER PROPi:.RTY ADDRESS
PROJECT
DESCRIPTION
AVQI i if) f'l -(0
Wi ~{S-fIN (p ()~t"~
UI S 1'1 Nit? S l tJ(p L---~
wevs
5 "foe.-y
f?>1rtJ\Y
NATURE OF
WORK
(Check all
Applicable)
BUILDING)ZJ ELECTRICJ:] PLUMBING0 MECHAN1CAL0 GAS D FIREJZI ROOFING ~
ENGINEERING 0 ENVI RONMENT 0 TRAFF!C ENGINEERING.tZf UTILITIES 0 OTHER 0
TYPE OF WORK
NEW 0 ADDITIONJZ1
$ q(.;,OIOOO--
.
REMODEL 0
OTHER 0
DEMOLITION 0
VALUATION
DESIGN
REVIEW
BOARD
REQUIRED 0
NOT-APPLICABLE 0
DISTRICT URBAN CENTER 0
CLRWTR BEACH 0
N GREENWOOD 0
STATUS DATE
APPROVED 0
DENIED 0
-Anyone plannmg to do excavation work, must notify the one-call ~CALL SUNSHINE" NotrllCallon Center at 1-80Q..432-4770 prior to any
excavatIOn work being done, In order to prevent underground damage Federal DOT Regulation Part 192, Sechons 192 614 and 192 707
CERTIACATlON
I HAVE COMPLIED WITH ALL THE FEDERAL, STATE AND LOCAL ASBESTOS REGULATIONS CONCERNING NOTIFICATION OF
THE PROPER AUTHORITIES OF THE PROPOSED DEMOLITION AND RENOVATION PROJECTS.
I hereby certify that. this app!lcatlo
01 the proposed structure Any
null and void
s Submitted herewith IS a true representation 01 aU facts concerning the erection
n contamed hereon unless approved by the BUilding OfficIal Will render thiS permrt
Signature of license holder Of ownerlbullder
Date
OFFICE USE ONLY
NUMBER OF STORIES
EXISTING OR PREVIOUS BUILDING AREA
TYPE OF CONSTRUCTION
TRANSPORTATION IMPACT FEE (Calculation bylhe Clly)
BUILDING AREA
BUILDING HEIGHT
<!) Printed on rocyr:led paper