Laserfiche WebLink
<br />APPLICATION FOR PBmaT <br />CI'l'Y or DPRYlUIILLS <br />BUILDura DBPARDdBHT <br /> <br />DAft: UCBIVBD <br />PLAHS RBVIBW I'D <br />PASCO PERMIT SERVICE <br />1- 8'~- ~~~ -7'89~ <br /> <br />OWNER'S NAME -.R Ic..~ (~O k <br />JOB ADDRESS 35;28 - TDLlr~(t~ -:Dr. <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT (S) .;;J. 7 0 <br /> <br />BLOCK <br /> <br />PARCEL ID # ~4--;l(p-;2l-lJmO"'OOoDO -01.70 <br /> <br />SUBDIVISION ~ V\.1el"lV~ Po,.::t-C. <br /> <br />WORK PROPSED: I2(NEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: PlsGL F~LY DWELLING <br />o COMMERCIAL <br /> <br />(OBTATN FROM PROPERTY TAX NOTICEl <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 />OMULTI-F~LY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM! <br />o OTHER <br /> <br />DESCRIPTION OF WORK ~eL.-tV'(-c..... <br />I :Lx 3:L <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />r-o, k~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />3<g'{ <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH ('3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br />FORM~ . <br />tJI. ~.g , S--() <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />JXl ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <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 />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDD <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />~~~ <br />SIGNATURE .' . <br /> <br />COMPANY. E: C<-S1- R. sc.o E lec.+rl '-- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MBCBAlUCAL <br /> <br />**********~******************************************************* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTBBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />