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<br />APPLICATION roR PBRYIT <br />CITY or ZBPBYRBILLS <br />BUILDING DBPAR'l'MBNT <br /> <br />DAD RBCBIVBD 7-/f..- O,? <br />PLANS RBVIBW J'BB ~- <br /> <br />OWNER'S NAME Li J/ '(,(C)+c:i.Yl~e:J <br />JOB ADDRESS ,-?YOIt/- Chnshne live. <br /> <br />PASCO PERMIT SERVICE <br />PHONE 813-788-5314 <br /> <br />SUBDIVISION w,;,te/S pa..r/<. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />~DITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o D~OLISH <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 />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />, . /J /Gft{ss) <br />DESCRIPTION OF WORK Cha~e eXI.sh~ ~r~e/IL raJM -Iv FI/)fldev K.a;l7I..lUN"".,dtJW5 <br /> <br />10 X .;<!} SQUARE FOOTAGE OJ.5D If HEIGHT ..see: pltl"-s <br />. , <br /> <br />BUILDING SIZE <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 />~UILDING <br />~ELECTRICAL <br /> <br />$ /::<, ()C)t). tJO <br /> <br />VALUATION .OF TOTAL CONSTRUCTION <br /> <br /> <br />:; <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />DGAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BJ..OCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />!1!!i!!lii!II!!!!II!!!!lllii!!lllu!III!!!!!III!!!!!111!!!!I!I!!!!I!!lilil!!llil!!illil!II!~!!llllllliii![ -~--- -- -- - ]!II~mlll!!!!!m~!~~il!il~I!I!I~!mllli!ll!ii!!lmmllll!1Illllllllllill!I!liiilllllll!llj <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY 'P5. J ~ 11-1 u ~ i VI Uw--- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # ..3.3 t./ <br /> <br />BUILDD <br /> <br />********************************************** <br /> <br />BLBCTRICIAIIf <br />SIGNATURE ~~ ~\I\...c... a <br /> <br />COMPANY~~~ l!l't&-,,~ <br />STATE CERT OR REGIST # ltC\\OO\",\'.t'l. <br />CITY PROCESSING # lijLl~ . <br /> <br />. <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**********~******************************************************* <br /> <br />MBCBAllfICAL <br /> <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />