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<br />APPLICATION roR PBmIIT <br />CITY 01' ZBPBnUI:ILLS <br />BU:ILDDfG DBPAB.'DOt:NT <br /> <br />DATE UCBIVJm ~ ... :3 -0// <br /> <br />PLARS BBVID I'D <br />PASCO PERMIT SERVICE <br />1- ca,,~ - ~~'t -7<gq 4 <br /> <br />OWNER'S NAME A r-nl"e Bu.hJ <br />JOB ADDRESS c~, '3 Py r- d..c: Dr.. <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PHONE <br /> <br />SUBDIVISION Ernt!ra..ld. POI;"f f!.J <br /> <br />BLOCK <br /> <br />PARCEL ID # ~tJ- ;1.(,-;;.(- DOJi7)-fX)()(X)- 3040 <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICE} <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE:~SGL FAMILY DWELLING <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 />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK PI u..~,~ h>r- k.~ (Per.".,: t * 3D~3) <br />BUILDING SIZE J;;2...x 3:L SQUARE FOOTAGE .=3<6t...f 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 />& (1) SET ENERGY FORMS. <br />FORMS .J) <br />If LJ.~ ~~ <br />-(1. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br />o ELECTRICAL AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. <br />11&1 PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />DGAS o ROOFING o SPECIALTY 0 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 />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDBll <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BLBCTaICIAR <br /> <br />****************************************************************** <br /> <br />PLUMBBll ~ COMPANY la,...rr~ /IIlejer -PILl~I''j ......R.~I....C; <br /> <br />STATE CERT OR REGIST # <br />SIGNATURE, ~ 'rf\ ~ CITY PROCESSING # <br /> <br />***********~****************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />HBCllABICAL <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTBBR <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />