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<br />~GO~ <br />~ (. <br /> <br />APPLICATION I'OIl PBRMIT <br />CITY 01' ZBPBYRRILLS <br />BUILDIBG DBPAll'.l'HD1'.r <br /> <br />:trfer <br />r /' k- J)r. <br />:.. ?:!2.- <br />lJ.-OIJ6tY)- 30;1.0 <br /> <br />a5iJ5' <br />SUBDIVISION 5YProid f6lfl~ <br /> <br />DAB RBCBIVBD <br />PLaRS DVI_ I'BB <br />PASCO PERMIT SERVICE <br />813-788-5314 <br />PHONE ,~ <6&&- ~;).y - 7 <Jl..f ~ <br /> <br />/ c2/1/o 3 <br /> <br />BLOCK <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE} <br /> <br />)N <br /> <br />o ADDITION <br />o MOVE <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />['LING <br /> <br />[JMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />I <br />/:A '13~ <br /> <br /> <br />SQUARE <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH f3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br />o ELECTRICAL <br />UPLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br /> <br />o <br /> <br />$ <br /> <br />VALUATION <br /> <br />DGAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <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 0 NO <br /> <br />un......'.............................""".........",..,.. '....LU..........................n.u,...r>tn... - - - - - - _ -"'.Tnn.n...,.............u"................""v..uTn.I.u.......n......o:n.....'......-r>.............,...........ntn.....".. <br />gmsmg~~~~~g~1m~gmgns~~~magg;mmllggliggam~HHmm;~lm~~~~mmgb1~ilim ig}!mnmili~mmeL~gmmmmgmgm~mggU~mugggmmmii~~~~!;~;~;~~~m <br />.. no.....n on... TO."... ,.. ,< .......n.. ,.u .n.nn........ .. TO.........' ........... ........ ..........., .., ..~...... u. ........ ... .... Bn,.. ...' ...... ..,.....". ..u..u....... n... "H~".... .............. <br />~;:m::~:~E::m:::~i$;i:~:~!:E~m:mH::m;:m:;:mi~:H:::::m:mm::::;;:::::;Hm~;:s:Hm;l m::ilimn:mH::mmm;mmHHmml;~1:u:mH;~;::r;;m;r~::~~:::i;mwH;im: <br /> <br />BUZLDD <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />JILlICTJUCDUI <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~~~ <br /> <br /> <br />***********~****************************************************** <br /> <br />COMPANY' L 0. r (' 1 'e..- {V1 e y ~ ("' <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 13 " <br /> <br />Pll-thtbl'~ <br /> <br />PLUIiIBBR <br /> <br />HBCBAIIXCAL <br /> <br />COMPANY- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />0TIDDl <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />