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<br />APPLICATION FOR PERlaT <br />CIT!' 01' DPBYRHILLs <br />BUrLDIRG DBPAR!l'MDn! <br /> <br />DAD RECBIV'BD (.-.3 ~ ;W <br />PLARS REV.LIIII' I'BB <br />PASCO PERMIT SERVICE <br />,~ 8"~- ~;2.Lf-7'&9t.t <br /> <br />OWNER'S NAME A rnl'l{J~ B~ I <br />JOB ADDRESS 3S-, '3 Pyr-; t-~ Dr. <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PHONE <br /> <br />BLOCK <br /> <br />PARCEL ID # :<'I~~I.-.;J.(-D05D-{)(){;(X)- 304D <br /> <br />SUBDIVISION E mer-aid PG>l~C <br /> <br />WORK PROPSED: Ii'JNEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTIr.F.) <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-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 <br />DESCRIPTION OF WORK E l e c... +-r ( L.- <br />BUILDING SIZE I ~)( 3:t <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />~r La.n~ (Per..,,/'7- 3D.;t'3) <br /> <br /><:..~ t-,/ <br /> <br />SQUARE FOOTAGE 3 '8',-/ 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 <br />FORMS ~ <br />~3~,- -sa <br /> <br />FORMS. <br /> <br />o BUILDING <br />( ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <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 />OGAS <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 />BUrLDD <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />~CDZC~ ~ <br />SIGNATURE . (9.J::.. <br /> <br />~~ <br /> <br /> <br />****************************************************************** <br /> <br />COMPANY C a..s 1- Rt Sw <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />E.1 ~c+rt~ <br /> <br />PWMBD <br /> <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />HBCBUICAL <br /> <br />**********~******************************************************* <br /> <br />COMPANy. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />0'1'BBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />