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<br />APPLICATION FOR. PBmaT <br />CIn 01' ZBPBYRIIILLS <br />BUl:LDDtG DBPARDO!:N'1' <br /> <br />JOB ADDRESS <br /> <br />l '. . <br />e b Ilarr! I F/I//ft. A.. <br />JVc;tJ. TOi/rfllA.. Li i.i <br /> <br />I<! II:YC <br />() r/ t-e <br /> <br />DAD RBCBl:VBD <br />PLARS RBVDnr DB <br />PASCO PERMIT SERVICE <br />1- 8""- <A~t.j -7'&9Ll <br /> <br />OWNER'S NAME <br /> <br />PHONE <br /> <br />ZR,piyrkl/s f-'( . <br />SUBDIVISION f/llt} rtL lei fotl.-I ICy <br />lOB'I'ATN FROM PROPERTY TAX Nrffftl</lr <br /> <br />LEGAL DESCRIPTION: LOT(S) .~f / <br />.) 'f-c). ~; .' J / - o() J'()- o(X)()o - cJ f / r) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br />WORK PROPSED: ~NEW CONSTRUCTION <br />b~IGN <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <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 />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />/())'t'3r:J.. Ltill.a.1 <br />1~X-3bL <br /> <br />SQUARE FOOTAGE <br /> <br />if ~'1 r/ <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />Lf~. <br /> <br />(I"" <br /> <br />pLv",," , <br /> <br />PERMITS REQUESTED <br /> <br />,. BUILDING <br />o ELECTRICAL <br />rt PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <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 />AFAAME <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 />BUl:LDBll <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLBC'.ftUCl:AN <br /> <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />PLUMBBR. <br /> <br />~LCLl-ru <br />'0 COMPANY . <br />f - ~ STATE CERT OR REGIST # <br />'- ~ , , \~ CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />****************************************************************** <br /> <br />/?uJ€F jJkAb~ <br /> <br />SIGNATURE <br /> <br />HBCllARXCAL <br /> <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTIIJ:R. <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />