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<br />APPLICATION I'OIl PBBMIT <br />CITY 01' ZBPBnUIILLS <br />BUIIDDrG DBPAllTMBNT <br /> <br />DAD IUICBIVBD 1/t y !o 'I <br /> <br />PLM1S IUlVID I'D <br />PASCO PERMIT SERVICE <br />113 J88 8111 <br />PHONE 1 - <6 ~l., - 'i ')..'f - 7 ~ Cf if <br /> <br />OWNER'S NAME M o.l -f Sh e~ It:.- LUht +t <br />JOB ADDRESS :~/..f ~D (l)lM'"~(' ~ Dr. <br />LEGAL DESCRIPTION: LOT(S) d <g~ BLOCK <br />PARCEL ID # ~- J..(,-- ;2.1- 0000- (X)l(X)- ;t?'49" <br /> <br />SUBDIVISION f::.t"Ylera..\J.. Po\~+ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />o SIGN <br /> <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />L-aV\tlt.V <br />(~x ;)...0 <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />(ufi II'~ Y"oo~ +- ~ Tt>ra.CZf- ') <br />SQUARE FOOTAGE ;J.. t( 0 tp <br /> <br />HEIGHT S;e~ pIa. 1'\ <;. <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 ("3) SETS OF BUILDING PLANS & (1) SET ENERGY FOmfS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />id BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ f 1/00}. or> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />vi <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <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 BLOCK <br /> <br />RFRAME <br /> <br />o STEEL <br /> <br />~ OTHER oJ UIi\'t.I ;" t{ ~ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />f:~~~a*HgiiifH!~lliHH3~iHH~imiY;ifml~~~si~aHHH~~~~i@~!Ha~Hi~!~iliiilih~;;;Elli ~ -- -- -- ~ - -- - ~ - - ;mali~HillminHHili~mHHilifHH~ti~~HiHr~~H~H~t~ill1~mim~mm~mmmml <br />imnifiH~H!isUs!!mH~m~*m~g~~ru~n*~n~~m~~m~m~mmg~~mgiki~1~fWSm~~ L~1g~~gn~~~ti~mgHUggg~m5iliUm~!g!g~m~~m~nam~m~tiggWllm~i~~: <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY -=rere VV\~' ~ Q ~ ; ht-8J UlAi\ I ~k k,'L <br /> <br />STATE CERT OR RE 1ST # <br />CITY PROCESSING # <br /> <br />aUZID_ <br /> <br />********************************************** <br /> <br />BLBCDlJ:CZAB <br /> <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**********~******************************************************* <br /> <br />_ClJAllZCAL <br /> <br />COMPANY- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTJIBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />