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<br />APPLICATION I"OR PElUaT
<br />CITY 01" ZEPRYRRILLS
<br />BUILDING DEPARTMENT
<br />
<br />DA,"""BCBIWD 7/ ill 0 i
<br />PLANS RBVI:BW I'D
<br />
<br />o.WNER' S NAME~ A? y-- m ff~' r~-#.;I .A) / ~ jU
<br />Jo.B ADDRESS ~~ 7G./ &' 1;,14-0 ~C'? I jJ. r4M IY? ~cl..!.~vtl;> (
<br />
<br />PHONE /'">.:.<.?'?; -;J.? c..... ;;
<br />
<br />SUBDIVISIo.N
<br />
<br />PASCO PERMIT SFfMCI
<br />813.788-5314
<br />
<br />LEGAL DESCRIPTIo.N: Lo.T(S)
<br />
<br />BLo.CK
<br />
<br />PARCEL ID # ..3lJ-d.5- o:tl -OLDO -DOO()() - O,a q 0 (o.BTAIN FROM PRo.PERTY TAX No.TICEl
<br />WORK PRo.PSED: ~EW CONSTRUCTIo.N ciAoDITIo.N DALTERATIo.N 0 REPAIR 0 INSTALL
<br />DSIGN 0 Mo.VE 0 DEMo.LISH
<br />PRo.Po.SED USE: ~ FAMILY DWELLING DMULTI-FAMILY 0# o.F UNITS
<br />
<br />o Co.MMERCIAL
<br />
<br />o INDUSTRIAL
<br />
<br />o SWIMMING Po.o.L
<br />
<br />o Mo.BILE Ho.ME
<br />o o.THER
<br />
<br />DESCRIPTIo.N o.F WORK
<br />
<br />CJ RESTAURANT & HEALTH DEPARTMENT APPRo.VAL
<br />{C; ~ R E. ~ iV ,,~ ODrJ(
<br />
<br />BUILDING SIZE
<br />
<br />SQUARE Fo.OTAGE
<br />
<br />/~c)
<br />
<br />HEIGHT
<br />
<br />7~
<br />
<br />RESIDENTIAL:
<br />Co.MMERCIAL:
<br />
<br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY Fo.RMS.
<br />ATTACH (3) SETS o.F BUILDING PLANS & (1) SET ENERGY FORMS.
<br />PRo.PERTY SURVEY REQUIRED Fo.R ALL NEW CONSTRUCTIo.N.
<br />
<br />~ILDING
<br />
<br />$
<br />
<br />r!J-.o~ ()
<br />
<br />-:~
<br />
<br />PERMITS REQUESTED
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />D ELECTRICAL
<br />o PLUMBING
<br />D MECHANICAL
<br />
<br />AMP SERVICE
<br />
<br />D FLORIDA POWER
<br />
<br />o W.R.E.C.
<br />
<br />$
<br />
<br />VALUATION OF MECHANCIAL INSTALLATION
<br />
<br />D GAS
<br />
<br />o ROOFING
<br />
<br />D SPECIALTY
<br />
<br />o OTHER
<br />
<br />TYPE OF CONSTRUCTION: D BLOCK
<br />
<br />o FRAME
<br />
<br />o STEEL
<br />
<br />[!}-'6'rHER -4 L U M , AJ U M
<br />
<br />FINISHED FLOOR ELEVATIONS
<br />
<br />IS PROJECT IN FLOOD ZONE AREAD YES
<br />
<br />D NO.
<br />
<br />"..:::-m::.:.'....w,,::o:....,::r:.::.j,."',::.:w::::::,..:"'..;,...'::j::'a::I":':::::-:::::::' ~. ~ ~ . . .. '::::::;::::",ml':::::::':'::;:o,:O:::::::::::"::::::::':"j',:::l"'::::i::':::'::':"',':;:::::"l:,:1
<br />.1f:::''''i,!cllmj''''i'css''clllol,!::! ::'!l;'!::'j:W:::;:::::j'.,l!Cl:: "'''".l'!II::''1:::::,1 1::::::o';:'!):;"':'::")'j"""'::':O:;::::"':'!':'''!':' :"i',i,l"):""":'::",,: :'l:,',. "i:
<br />,m;'mlini,ll , ,i',li' ;'1; 'i mm,li!.! 'iin !!i,nmm',!lillm mm"!l!ll;gEi,mgj! lliil!l!:llo:!l'llm!ll,hllllllllhll!lllllll,gtili;;,;;;;;l;:;ii:,l;,il;:;;miiiil:'milil;"iiiil
<br />.....l......l...JL:.",l.l"L.l.............I.,J.i".:...."..,.........L........................ I.............................."............................................:......,..,,;........L...
<br />
<br />SIGNATURE
<br />
<br />c.~l i" l . ",\ ~ /(. ,~
<br />,lIlt f& 1_( _)/{( ( ';c?~-~lx/
<br />
<br />COMPANY M i kf IA) " IJ I a wtL"S
<br />STATE CERT OR REGIST #
<br />CITY PROCESSING # 3"~
<br />
<br />(~~ ., -h:~.Lh.o l<V
<br />
<br />BUILDER
<br />
<br />******************************************************************
<br />
<br />BLBCTRICIAN
<br />
<br />Co.MPANY
<br />STATE CERT OR REGIST #
<br />CITY PROCESSING #
<br />
<br />SIGNATURE
<br />
<br />******************************************************************
<br />
<br />PLUMBJ:R
<br />
<br />SIGNATURE
<br />
<br />COMPANY
<br />STATE CERT OR REGIST #
<br />CITY PROCESSING #
<br />
<br />******************************************************************
<br />
<br />HBCHA1UCAL
<br />
<br />COMPANY
<br />STATE CERT OR REGIST #
<br />CITY PROCESSING #
<br />
<br />SIGNATURE
<br />
<br />*****************************************************************
<br />
<br />OTHER
<br />
<br />COMPANY
<br />STATE CERT o.R REGIST #
<br />CITY PROCESSING #
<br />
<br />SIGNATURE
<br />
<br />*****************************************************************
<br />
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