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<br />APPLICATION I'OR PDlaT <br />CITY or ZBPHY1UU:LLS <br />BUILDDrG DBPAR'I'MENT <br /> <br />OWNER'S NAME M.ttl + ~nei 1 a... Whd+ <br />JOB ADDRESS 3'130 TOlA-f"I'V1a.l, ~~ Dr, <br /> <br />DAft: UCBrYBD J II c.; /0 'I <br />PLARS 1UW.lJnr I'D <br />PASCO PERMIT SERVICE <br />MD ;'Ii _<II" <br />PHONE I - ~~-8;1.'i-7<611 <br /> <br />SUBDIVISION 6W'1ef'tMt::R... POI~ <br /> <br />BLOCK <br /> <br />IOBTATN FROM PROPERTY TAX NOTICE} <br /> <br />o ADDITION <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <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 />DESCRIPTION OF WORK --1..-4.~ <br />l;2.x.;Lo <br /> <br />BUILDING SIZE <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />(u..+i ti~, roo~ .f- sfvf'l'ltf- ') e(~~ <br />SQUARE FOOTAGE d.. q 0 HEIGHT <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 />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />p( PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />OGAS <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 AREAO YES 0 NO <br /> <br />~!!III~ti~!lml!!I,illm~JIII~mm!rilil~!m~llllmm~~~~~mmlm~~mm~~l~ - - --- - -- - --- - - - --~llm~~~~[~~!~I~illlllHl!mlllm~m~~mmlm~~~lm~llilW~!I!m!mmm~ <br /> <br />BUl:LDJ$R <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLBCDaC:IAR <br /> <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBBll <br /> <br />~\ <br /> <br />- <br />~~~ <br /> <br />M~ <br /> <br />COMPANY La.('ri~ rv7~U' P1Lt.~~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />.... <br /> <br />***********~****************************************************** <br /> <br />_CBAlfICAL <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 />