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<br />APPLICATION I'OR PBmaT <br />CITY 01' ZBPRnUlILLS <br />BUILDJ:RG DBPARTMBNT <br /> <br />DAD RBCBIVBD <br />PLARS RBVIBIf I'BB <br />PASCO PERMIT SERVICE <br />1- S,~- ~,~ -7<&9tl <br /> <br />OWNER'S NAME VVla..l -a.. She'lltt. LA) h.,tt- <br />JOB ADDRESS ,~t.l3D TOLA(Y\"\e.~J I h.-e IX-. <br />LEGAL DESCRIPTION: LOT (S) ~ 'Zs't.f BLOCK <br />PARCEL ID # ~ t.f - ~l, - ~I- ()()(;)C) ..- OOl 00 - ;2. ~Y <br /> <br />PHONE <br /> <br />SUBDIVISION t:~~~lol POI~t <br /> <br />(OBTATN FROM PROPERTY TAX NOTTeE) <br /> <br />WORK PROPSED: O(NEW CONSTRUCTION <br />o SIGN <br /> <br />PROPOSED USE:9(SGL F~LY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />BUILDING SIZE <br /> <br />CJ RESTAURANT <br /> <br />e le c..+-r,' c....- <br /> <br />l~X.d-O <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />~o..... <br /> <br />I ttVl~ <br /> <br />c u.t~ ) ~+tt , s.~r~~) <br />~Lf 0 HEIGHT <br /> <br />SQUARE FOOTAGE <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 />~ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />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 />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 />~~~1'iil~lrnmlW~imrill!ml!lmi~m~~1m~~~iI1~lIffii~lli --~ -- - ~-~~ ~ _~__n -- --- -- ~ - --- - ~lii~illl~ill~Hf~~1mm~m~i~~::~~ilk~~~~~tlH~~][~m!mi <br /> <br />BUZLDBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />BLBcmICIAR ~ COMPANY East- ~sco E\~c+f"c..... <br />nil" I. t 0 ~ ,p STATE CERT OR REGIST # <br />~SIGNATURE ~ .r- CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUKBBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**********~******************************************************* <br /> <br />MBCBUICAL <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 />