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<br />APPLICATION FOR PBmaT <br />CITY 01' ZBPRYlUIILLS <br />BUZLDDlG DBPARTMENT <br /> <br />DAD RBCBIVBD ;(/;(~/r;:/ <br />PLABS RBVID I'D I <br />PASCO PERMIT SERVICE <br />1- s<-~ - ~;l"f -7'&9t.f <br /> <br />OWNER'S NAME <br />JOB ADDRESS 3 <br /> <br /> <br />lbtY1 <br /> <br /> <br />LEGAL DESCRIPTION: LOT(S) :;;..q, BLOCK <br />PARCEL ID # J.1",~- 2/-Do8"'D-fJ(J/)?J(J,.......-25!4{J.TATN FROM PROPERTY TAX NOTICE\ <br />WORK PROPSED: ~EW CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR 0 INSTALL <br />OSIGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE: ~L FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS 0 MOBILE HOME <br />o COMMERCIAL o INDUSTRIAL OSWIMMING POOL 0 OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK I tlMtLl} h 0~ , tJ.f i /,~ r~ <br />BUILDING SIZE 12 K-3 L...--- SQUARE FOOTAGE 3t( l./~ 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 />o BUILDING <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />II (J/)() tm- <br />7 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />~LUHBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />OGAS <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 AREAO YES 0 NO <br /> <br /> <br />BUJ:LDBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />COMPANY i';. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BLBCftICIAR <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />***********~********** <br /> <br /> <br />Lat'"Y'"I<- K~~. ?(lA..",,-b\k~ <br />COMPANY <br />STATE CERT OR REGIST # ~() ~ 'I g t&, I <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br /> <br />PLOMBBR <br /> <br />****************************************** <br /> <br />_CQRICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />0'1'BBIt <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />