Laserfiche WebLink
<br />APPLICATION !'Oil PDMIT <br />CITY 01' ZBPBYlUIl:LLS <br />BUILDING DBPA1lTHEN'l' <br /> <br />DAD RBCBIVBD <br />PLABS lUW1J01 I'D <br />PASCO PERMIT SERVICE <br />1- Sf." - ~;lLf -7 <&9 Li <br /> <br />JOB ADbRESS <br /> <br />c:J. <br />f?zf tel; <br />LEGAL DESCRIPTION: LOT(S) ~L(2) <br />!) '-i -- ~ -- ,;:L !-0070 - 0 {)6o() - d- ~IN <br /> <br /> <br />, <br />OWNER' ~ NAME <br /> <br />PHONE <br /> <br />I ~ A 63":::> <br />VISIO; ~tL!cL /?;I'nk <br /> <br />PARCEL ID # <br />WORK eROPSED: ~ CONSTRUCTION <br />DSIGN <br /> <br />PROPOSED USE~GL FAMILY DWELLING <br /> <br />FROM PROPERTY TAX NOTTCEl <br /> <br />o ADDITION <br /> <br />o ALTERATI ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />o COMMERCIAL <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 />DESCR~PTION OF WORK <br />BUILD~NG SIZE 1,X/ 0 <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />fan rLl <br /> <br />SQUARE FOOTAGE <br /> <br />~() ;/:L <br /> <br />HEIGHT <br /> <br />IV <br /> <br />RESIDIj:NTIAL: <br />CO~RCIAL: <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 />~UIL~ING <br />o ELECTRICAL <br />o PL~ING <br />o MEC~ICAL <br /> <br />$ ~7)() ~ <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 />VALUATION OF MECHANCIAL INSTALLATION <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 />FINIS~ED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />i <br />BUJ:m!! <br />~ <br />~ SIGNAt!'URE <br /> <br />~ <br /> <br />~~ <br /> <br />COMPANY () OJ her <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />BLIl~~T.R <br /> <br />~ ~---- <br />-----7 <br /> <br />COMPANY. /0 L-U VI e.r--- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />....... SIGNNrURE <br /> <br />****************************************************************** <br /> <br />~- <br /> <br />."~ SIGNATURE <br /> <br />-"-----~- <br /> <br />.--:::::> <br /> <br />COMPANY (J /;..) ne~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />~CAL <br />SIGN~TURE <br /> <br />***********~****************************************************** <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />~ <br />I <br />SIGN1TURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />