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<br />APPLICATION roB. PBmaT <br />CITY OF ZBPRY1UULLS <br />BUILDDJG DBPARDmlft <br /> <br />DAm lUICBIVBD <br />PLARS RBVUaw I'BB <br />PASCO PERMIT SERVICE <br />813-788-5314 <br />fJl>~~o PERMIT SERVICE <br />1-866.824-7894 <br />TolI~ef' .J. <br />SUBDIVISION~I.lL"dCX ~JAl~ <br /> <br />JOB ADDRESS <br /> <br />Edtl/~ 'f 7aJJe <br />d S'I() T{}tJrhl Ci-I/pe <br /> <br />6ti/'~f <br />o /"'/ 're <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />~(P7 <br /> <br />BLOCK <br /> <br />PARCEL ID # <br />WORK PROPSED: 9tNEW CONSTRUCTION <br />o SIGN <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />D REPAIR <br /> <br />o INSTALL <br /> <br />D MOVE <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMULTI-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 />D RESTAURANT <br />LCUJ(L; <br /> <br />I~ X dtJ- <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />dJl'lf> <br /> <br />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 F01. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br />-r"c.l <;.:) <br />.3 /. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATIOS OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />t:A PLUMBING <br />D MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />./ <br />VALUATION OF MECHANCIAL INSTALLATION ~? <br /> <br />DOTHER' ~3~ <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />~~r~~rJ~!m!IIW~lmmlllm~m~m~~~II~lm!!I!lmITm!llllillmmw~~rillmm - - -- -. ----. - --. - - -- - ill!m~lmmr~lmillTI~ml~~~II~M~ml~i~m!~~m~ill~mllmmmmm <br /> <br />BUrLDD <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLBCDICIAR <br /> <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~MtJ-\. <br /> <br />COMPANY l-a.("T'<.- H..e~t'r ~ "P1Vl.~I~ <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 00 (, Cjill / <br /> <br />PLUIiIBBR <br /> <br />**********~******************************************************* <br /> <br />HIICBARICAL <br /> <br />COMPANY- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTBBR. <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />