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<br />APPLICATION FOR PBRIaT <br />CITY 01" ZBPRYRR:ILLS <br />BU:ILDDfG DBPAllDSNT <br /> <br />DAB RBCBXVBD J / ?-q /tJY' <br />l <br />PLMfS RBVDnf I'BB <br />PASCO PERMIT SERVICE <br />,-~'''- ~;2"f-7'&9Ll <br /> <br />OWNER'S NAME I-t en r ~ C i c Vto ski . PHONE <br />JOB ADDRESS ~'3IE Oak Cu,C;+ ~1J ~()/s~ R-- .=B,z;-t/.;z. <br />LEGAL DESCRIPTION: LOT (S) Ltrb 5" BL K SUBDIVISION ~ c,~+ (;;7.5;..J,..~ <br />PARCEL ID # O:)--;l.h -:21- () .:y::,;-o -C:dXXX;- o.os-o <br /> <br />(OBTAHI FROM PROPERTY TAX NOTICF.l <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />OSIGN <br /> <br />PROPOSED USE:~GL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />~ ADDITION DALTERATION D REPAIR D INSTALL <br />o MOVE 0 DEMOLISH <br />DMULTI - FAMILY D# OF UNITS D MOBILE HOME <br />D INDUSTRIAL D SWIMMING POOL D OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTIOH OF WORK VJ~ndolU 100(1'1 <br />BUILDING SIZE 12-X I ft, SQUARE FOOTAGE Icrt!}...rf1- <br /> <br />HEIGHT <br /> <br />RESIDl!:NTIAL: <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 />D BUILDING <br />o ELECTRICAL <br />o PLUMJ3ING <br />o MECHANICAL <br /> <br />$ 5:32-cgOE.. <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D 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 />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />;rf-OTHER aJ Ufr1/ n vrn <br /> <br />FINIS$ED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />n...u....un......~n...................o.i.:O......,..,..u""...,."~...,u.u.....:.-......,,.........n....".......""..........,..... - - - --- - -- - - ~ ~ -~-- - ~--~- .......-..................TT'<,."""".""'..nT<.rTT<.n~"........n,...,.un.,.......n.....onr.,,....-n-Tlo.................."TYn................""".n" <br />~llili111!l1111!~I!li[~ur.mimmit!!1ffi~:;~~[~:~H~~~:~:Em:~~~mffi llM[~~Ttl~~Jill1~!1ililili!~l~i~lm!i!i;lnm~illI~l~m!mm~~~~ili <br /> <br />B1JZLD~ ~ COMPANY 't<.J. \ Alum""&(~ <br />STATE CERT OR REGIST # <br />SIGNA'tURE. CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />BLBC'1'JllXCIAB <br /> <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />P~ <br />I <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***********~****************************************************** <br /> <br />~ <br /> <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTIIBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNAWRE <br /> <br />***************************************************************** <br />