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<br />APPLICATION FOR PBmaT <br />CITY 01' ZBPRYlUIILLS <br />BUZLDDlG DBPARDmNT <br /> <br />DAD RBCBIVBD 2- -' A & - fJt/ <br />PLARS lUNIBW I'D <br />PASCO PERMIT SERVICE <br />1- s<-~ - ~;l"f -7'&9t.f <br /> <br />OWNEW S NAME :; aJr1 G ( a.,r d (noeL <br />JOB ""DRESS 6~31' P~{'d<.. uolk <br />) <br />LEGAL DESCRIPTION: LOT(S) ;;LCJ1 BLOCK <br />PARC*, ID # J.Lf,;J.fo- ~/- 06li({J --()/)bM-;7t70 <br />~ CONSTRUCTION <br /> <br />PHONE <br /> <br />lot 2-'17, ~~thJ/s) ~ 33s?fo <br />SUB~IVISIO 6mt~J tJlt}-k- <br /> <br />IORTATN FROM PROPERTY TAX NOTTCE\ <br /> <br />I <br />WORK IPROPSED: <br />I <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED <br /> <br />o SIGN <br />USE:~GL FAMILY <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DWELLING <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 />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WOBK 1 (A..y/ (1- i I b tL +A J V+ I I, ~ <br />BUIL~ING SIZE --1;A X 3.?-- SQUAIU! FOOTAGE - ,'R!f if' HEIGIl'r <br /> <br />RESI~ENTIAL: <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 />o BUILDING <br />'Ji ELECTRI CAL <br />o PLuMBING <br />o MECIPWICAL $ <br />o GAS 0 ROOFING 0 SPECIALTY <br /> <br />0):2. PERMITS REQUESTED <br />J /1 O/)/) VALUATION OF TOTAL CONSTRUCTION <br />, <br /> <br />$ <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />BLB~CIAR ~ ~ COMPANY Et:i.~T Fksco EIl'C fr,c- <br />=, 1 n. Q ,.II , STATE CERT OR REGIST # <br />SIGNATURE --M L'l-L JJ:~ CITY PROCESSING # <br /> <br />********************** ****************************************** <br /> <br />~ <br /> <br />SIG"'TURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***********~******************************************..*********** <br /> <br />_~CAL <br />SIGN~TURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTII$ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGN~TURE <br /> <br />***************************************************************** <br />