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<br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />3/t'/os <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAM.,$-e. 0 { '/'.- Q 1""""'>'l.. <br /> <br />JOB ADDRESS. ~(r(1 ~. . - <br />. 0 .0 OC~,~ <br />LEGAL DESCRIPTION~ LOT(S) b~%. B~OCK~'C>D <br />O.:l-.;;;;Lb --c:d - ~f:;>1D -' boo ~~ <br />PARCEL ID # ~ ~ b-Ol./-Q::arO-G.:<bcO-~.O <br /> <br />PHONE (1/3--- ?~~-O.f~-$ <br /> <br />t[)olO <br />SUBDIVISION 0) d) <br /> <br />{OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS 0 MOBILE HOM: <br />o COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL ~R <br />o RESTAURANT & HEALTH DEPARTMENT APpROVAL .sf:-J-.e. <br />DESCRIPTION OF WO~~~~~ ~ Y1~l."-0ij{ ~In A-LD&" <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />& (l)JT. ENERGY FORMS. <br />FORMS (}o. ^ <br />/0 . c'--' <br />--- <br />--.. <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />--== <br /> <br /> <br />o BUILDING <br /> <br />$ Id-t)Ca:J~~e <br /> <br />VALUATION OF <br /> <br /> <br />~ NoT lh'tP'\/T l}11 rr~ "~-c <br />A~ ftL e,.ft~NiNt--~.f ~j <br />STRUCTI9t'/ - ~l/-e- Li->O (7<- <br />It(1 p ('-\l 'f'r"- <br />nergy ~ W.R.E.C. <br /> <br />PERMITS REQUESTE <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />~ER S/,+~ <br /> <br />$ <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 AREAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST ~ ()3S"/;>y <br /> <br />, <br /> <br />***************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />