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<br />'PASCO COUNTY BUTI..DING PERMIT APPLICATION <br /> <br />_ OFFICE USE ONLY <br />OCCUPANCY <br /> <br />NEW PORT RICHEY <br /> <br />(813) 847-8126 <br /> <br />NO. OF UNITS <br /> <br />LAND 0' LAKES <br />(813) 996-2203 ~\ ~\."~ <br />DADE CITY <br /> <br />TYPE OF CONST. I II III IV V VI <br /> <br />FIRE DISTRICT <br /> <br />APPLICATION MUST BE TYPED OR PRINTED IN INK <br /> <br />(904) 521-4206 <br /> <br />OWNER I S NAME PAUL TINDALL Ohc...-~~ 2- <br />JOB LOCATION 38604 ALPHA AV SUBDIVISION ~A- tlllJC(~ ~j+~\ <br /> <br />s3 S T l5R.24- SU~BL c </ LOT~ PROJECTfI TAZ/I LOT SIZE_X_ <br />OWNER'S PRESENT ADDRESS 38604 ALPHA AV CITY/STATE Z/HILLS ZIP 34655 <br /> <br />BUILDING CONSTR. NAME RH~HARn VAf.:R'R .J'R ~I~ CONTROL aYaTEM SN ST II CAC 035496 <br />SIGNATURE <~~ COMP ID II (OJl-S" <br /> <br />PRESENT ADDRESS 1 fll? !=:F.AR()A'Rn !=:'T' PORT MYERa TELEPHONE II 541 7600 <br />DESCRIPTION OF WORK ADD HEAT RECOVERY UNIT TO 3-TON HEAT PUMP <br /> <br />LIVING AREA PATIO GARAGE ENTRY TOTAL UNDER ROOF <br /> <br />NO. OF BEDROOMS_ NO. OF BATHROOMS TYPE OF CONST: BLOCK_ FRAME OTHER <br />NAME, ~LAR, AND SIZE OF MOBILE HOME <br /> <br />WORK CODE <br />TOTAL VALUATION <br /> <br />PLANS FEE <br />$950 00 <br /> <br />REC. II FOR PLANS FEE PD PLANS FEE <br />TOTAL BLDG. FEE <br /> <br />ST. If <br />COMPUTER ID. ff <br />AMPS TOTAL ELECTRIC FEE <br />STATE It <br />COMPUTER ID. II <br />VALUATION TOTAL MECHANICAL FEE <br />ST. If <br />COMPUTER ID. If <br />WATER WELL_ TOTAL PLUMBING FEE <br />ST. II <br /> <br />ELECTRI C CONTR. NAME <br />SIGNATURE <br />POWER CO. SAWPOLE <br />MECHANICAL CONTR. NAME <br />SIGNATURE <br />NEW ALTERATION <br />PLUMBING CONTR. NAME <br />SIGNA TU"RE <br />FIXTURES SEPTICfI_ SEWER <br />ANY OTHER TYPE CONTRACTOR'S NAME <br /> <br />SIGNATURE <br /> <br />COMPUTER ID. If <br />VALUATION $ <br /> <br />TOTAL FEE <br />TOTAL RADON FEE <br />OTHER FEES <br />TOTAL PERMIT APPLICATION FEE <br /> <br />OFFICE USE ONLY <br />PANEL If <br /> <br />ZONE <br /> <br />FLOOD PL <br />SETBACKS <br />COMM.E1"TS <br /> <br />BFE <br /> <br />CONTROL II <br /> <br />FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING <br />TWICE FOR IMPROVEMENTS TO THE PROPERTY. <br /> <br />SEE REV~E SIDE FOR CONDITIONS OF PERMIT. PLEASE READ AND SIGN BOTH SIDES. FOR PERMIT <br />VALUATIONS OVER $2,500, A NOTICE OF COMMENCEMENT SHOULD BE FILED. OWNER MUST COMPLETE <br />RECORDING OF NOTICE OF COMMENCEMENT ~~ xOST WITH BUILDING PEP~IT(S) PRIOR TO FIRST IN- <br />SPECTION ON SITE. <br /> <br />CONTRACTOR AGENT/OWNER SIGNATURE ~."....- <br />(READ & SIGN REVERSE SIDE) <br /> <br />DATE 2-Zi -o,( <br /> <br />De::-ni t : ::(,! : ! <br />