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<br />APPLICATl:OH FOR PBlUaT <br />CITY or ZBPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />} CJ'M 1i3_1J~~ <br /> <br />\----,-.--- <br /> <br />DATE RECEIVED'.if.- af9 Lt) ~ <br />PLANS REVIEW I'EE <br /> <br />OWNER'S NAME H{{.rD/d M u/d~( <br />JOB ADDRESS 5~()(o D03tA.Jood <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PHONE <br /> <br />PASCO PERMIT SERVICE <br />R1~.78S-S314 <br /> <br />St. 7 Z eph~".-hllls) F (, 33.51D <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # I;}- ;;</p- CJ, I-O;?~O -o;moo -1/70 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />o SIGN <br /> <br />llf ADDITION <br />o MOVE <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /><~('_r~en F<OOY'Yl ~ ('oV\(rt':,fc <br /> <br />BUILDING SIZE <br /> <br />/())(({P <br /> <br />SQUARE FOOTAGE lit;O <br /> <br />HEIGHT <br /> <br />7/ <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~ BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL $ <br /> <br />$ /X 700. eo <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. . <br /> ~ <br /> VALUATION OF MECHANCIAL INSTALLATION ~ <br />0 OTHER . ( <br />0 FRAME 0 STEEL Ui-OTHER tJ.ltau.tJ1..tu-v <br /> <br /> <br />TYPE OF CONSTRUCTION: 0 Bf.OCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE_4JU 4y~ <br /> <br />COMPANY R. S. 's A\L<...V\I\..in(.(..y',- <br /> <br />STATE CERT OR REGIST it J.I <br />CITY PROCESSING # ~~~ <br /> <br />****************************************************************** <br /> <br />ELBCTlUCIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />j <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**********~******************************************************* <br /> <br />MBCHANICAL <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 OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />