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813-78D-D02D Gi�yo1'�epnyrnins �'�rttu�r��N�������,� • <br /> Building De�arfinent <br /> �v Phono Coniacfi for P�rmitting ��`3 7�. -: s✓/C/ -- ' -hrrr�tri-r <br /> Date Received ? ' ��� - - --- - - -- -�-rH-�-rH rrr�r <br /> -rr�-rrrriy-rrriti-r- - . �3 �G el ,3 f/3U � � <br /> • ,1 // n �'�� �/�`� Owner nhone Number <br /> Owner`s Name •-`/"�c.e <br /> 3� � � � �� . Owner Phono Number <br /> Owner's Address ' � <br /> Owner Phone lUurriber <br /> ree Simple Titleholder Name • , • <br /> Fee Simple Titleholder A�ldress . �,,i/� <br /> � 7G ' (Y/�� ��-° • � LOT#� �— <br /> JOB ADDRESS . ' ' .�'/j) <br /> C�� f�a�i zau -a/- 0.��-��- r� <br /> SUQdIVISION ' - PARCGL ID# 3 7' <br /> (013TAINE�FROM PROPERTY TAX NOTICC) <br /> ADD/ALT [� SIGN [� MOVE � DEMOLISFI _ <br /> WORK PROP05CD ' � NEW CONSTR � ���,AIR <br /> INSTALL <br /> S�� �• COMM 0 OT!-IER <br /> PROP05HD USE' • C� FRAMC ' .0 STECL 0 OTHER <br /> TYPG O�CONSTRUCTION � DLOCK �I � ^n, w�L• ��� ' !/S <br /> re � � �e �i��eu� �,w � <br /> DCSCRIPTION O�WORK , � • • <br /> • SQ f-'OOTAGC I-IEIGI-IT <br /> BUILDING SIZG . . • <br /> � DUILDING � �� ��, ' VALUATION Of-TOTAL CONSTRUCTION . <br /> AMP SGRVICG 0 PROGRESS[NCRGY Q W.�•E.C. <br /> � ELECTRICAL � . . � <br /> � � ' PASCO PERMIT SERVICE <br /> C] P�.UMBIN� ti (813)788-5314 <br /> � MCCHANICAL $ VqLUATION OF MECI-IANICAL INSTALLATIOti .�AX 1-866-824-789� <br /> . �'�31 � 2 <br /> � GAS [] ROOr1NG 0 SPECIA4TY � �T���R , <br /> �INISI-IED FLOOR CLEVATIONS f=LOOD ZONC AREA DY�S CC�NO <br /> r � ,(��.�C� :r �9�� . �c . <br /> 13UILDCR � �����_ ./, � �, (� COMPANY <br /> ��,�,� R6GISTGRED Y! N PEC CURRHNT Y/N <br /> SIGNATURC <br /> � Z / . � . License� <br /> Address C� y�/o ��� �" • . <br /> � . COMPANY <br /> CLCCTRICIAN {�EGISTCRCD Y/ N FCE CURRENT Y/N <br /> SIGNATURG ' <br /> Licens�# <br /> pddress , ' <br /> PI.UMSER . � COIVIPANY <br /> RCGISTEftED Y/ N FGG CURRENT Y I N <br /> SIGNATURC <br /> � License# <br /> Addr�ss <br /> ' • • COMPANY <br /> �VIHCI-IANICAL REGISTCRCD Y/ N �FCE Cl1RRGNT Y/N . <br /> SIGNATURE ' " • . <br /> .License# <br /> Address ' . ' , <br /> OTI-ICR • � COMPANY <br /> SIGNA'1'URC RCGISTERED <br /> ' Y! N PCC CURRENT Y/N <br /> ' ' License# <br /> Address � _ - " <br /> RC5ID�NTIAL Attach(2)Plof Plans;(2)sets of Building Plans;(1)sel of Energy Forms;R-O-W Permltfor new construction, <br /> M(nimum ten(10)wori<ing days after submittal date. Required onslte,Conslruction f'lans;Stormwater Plans w/Silt Fence installed, <br /> Sanitary 1=acilities&1 dumps#er,Si#e Worlc Permlt for subdivisfonsllarge�rojec[s <br /> COMMERCIAL Attacli(3)complele sets of Building Plans plUS a Life Safety Page;(1}set of Cnorgy Forms.R-O-W Permit for new construction. <br /> Minimum Len(10)w 1��u�dsterasite iNom1tPe mat(o all�new p�j�cEs.A�II commerc alrequSementstmusLameel!oimplianceinstalled, <br /> Sanitary 1=aciliiies& p . <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. . . <br /> ****PROPERTY SURVEY roquired for all N�W construction. <br /> -�-i-i-f-i-f-►-rri+rri-rFrrFi+ii-�+ri-�-►-r�a-�+i-�-[-i-►a-rrrria-�aa-i-�-ri-rri-ia-t-t-ia-�-t-�-i-�-�-►a-►-►-�-ri-►a-i-rrrrH-i-rr�aaa-iaa-t+rt-rrrt-r�a-t-�-ta-i-►-i-ta-rrr►a-i-i-ta-I-rrNa-►-i-rw-i-�+i-ia-►a-rl• <br /> Directions: , • • <br /> F(II out application com�letely. • <br /> Owner&Contractor sic�n bacic of application,notarized <br /> If over�2500,a Notice of Commencement is required. (A1C ungrades ov�r:G5000) <br /> ** Agent(for the co,ntractor)or Power of Attorney(for ihe own�r)wouid b�someone with noYarized letker from owner authorizing same <br /> •OVGR THE COUNTGR PCRMITTING (Fronl'oi Application Only) . <br /> Reroofs Sewers Sorvice Upc�rades A!C �ences(Plofi/SUrvey/Pootage) <br /> Driveways-Not over Counter if on public roadways.:needs ROW <br />